Serenity Wellness, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SERENITY WELLNESS, LLC

Practice address

10045 Baltimore National Pike # A71025
Ellicott City, MD 21042-3673

Phone

(410) 913-3911

NPI assigned

Oct 18, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shaniqua Parrish-BaconNPI 1730917931

Title

Mental Health Therapist

Phone

(410) 913-3911

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shaniqua Parrish-Bacon

  • Mental Health Counselor
  • Windsor Mill, MD
  • NPI 1730917931
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1982425492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10045 BALTIMORE NATIONAL PIKE # A71025",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10045 BALTIMORE NATIONAL PIKE # A71025",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423673",
            "telephone_number": "410-913-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "PARRISH-BACON",
        "authorized_official_first_name": "SHANIQUA",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "410-913-3911"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvia Seo, L.AC,LMT
• Yuna Seo
• Hak Seok, DDS
• Jeanne C Serafin, M.D.
• Serenica Care Services
• Seton Medical Group, Inc
• Seva LLC
• Faisal Shabbir, MD
• Sara Shaeffer, MS, CCC-SLP
• Cheryl Shafer

• Mental Health Counselor in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.