1194423707 NPI number — SERENITY COUNSELING SERVICES, LLC

Table of content: BRIAN WADE TOWERS LMFT (NPI 1023339520)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194423707 NPI number — SERENITY COUNSELING SERVICES, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SERENITY COUNSELING SERVICES, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1194423707
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/06/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7800 MADISON BLVD STE 401
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HUNTSVILLE
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35806-2049
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
256-434-1581
Provider Business Mailing Address Fax Number:
256-562-4852

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7800 MADISON BLVD STE 401
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HUNTSVILLE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35806-2049
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-434-1581
Provider Business Practice Location Address Fax Number:
256-562-4852
Provider Enumeration Date:
02/22/2023

Additional Information

Authorized Official

Authorized Official Last Name:
HEDDY
Authorized Official First Name:
LYJAH
Authorized Official Middle Name:
Authorized Official Title or Position:
PRACTICE MANAGER
Authorized Official Telephone Number:
256-617-2990

Provider Taxonomy Codes

  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1992173439 . This is a "MENTAL HEALTH" identifier . This identifiers is of the category "OTHER".




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