1437658762 NPI number — SERENITY CONSULTANTS, LLC

Table of content: (NPI 1437658762)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437658762 NPI number — SERENITY CONSULTANTS, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SERENITY CONSULTANTS, 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:
1437658762
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/04/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
55 WINSLOW CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAVANNAH
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
31407-4946
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
912-247-6482
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1018 US HIGHWAY 80 W STE 702
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
POOLER
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31322-1606
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
912-349-2969
Provider Business Practice Location Address Fax Number:
912-349-2983
Provider Enumeration Date:
02/01/2018

Additional Information

Authorized Official

Authorized Official Last Name:
JONES
Authorized Official First Name:
ELLISHA
Authorized Official Middle Name:
MICHELLE
Authorized Official Title or Position:
CLINICAL DIRECTOR
Authorized Official Telephone Number:
912-247-6482

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  CSW004373 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: CSW004373 . This is a "GA STATE LICENSE" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".




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