MEDICARE: SERENITY BEHAVIORAL HEALTH SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	I 0009736	OH

General Provider Information

NPI Number	:	1952729477
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENITY BEHAVIORAL HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	623 PARK MEADOW RD STE H
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43081-2876
Country	:	US
Telephone Number	:	614-774-1120
Fax Number	:	855-740-2025

Provider Business Practice Location Address
First Line	:	623 PARK MEADOW RD STE H
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43081-2876
Country	:	US
Telephone Number	:	614-774-1120
Fax Number	:	614-774-1120

Authorized Official
Title or Position	:	CEO
Name	:	MRS. MARY K WRIGHT
Credential	:	LISW-S
Telephone Number	:	614-774-1120

Provider Enumeration Date	:	04/01/2014
Last Update Date	:	04/30/2025

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