Healthcare Provider Details

I. General information

NPI: 1376490649
Provider Name (Legal Business Name): SWEET SERENITY ADVOCACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2026
Last Update Date: 03/14/2026
Certification Date: 03/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12945 W GREENWAY RD APT E103
EL MIRAGE AZ
85335-2612
US

IV. Provider business mailing address

12945 W GREENWAY RD APT E103
EL MIRAGE AZ
85335-2612
US

V. Phone/Fax

Practice location:
  • Phone: 480-250-7349
  • Fax:
Mailing address:
  • Phone: 480-250-7349
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: JAYSHA SMITH
Title or Position: FOUNDER/OWNER
Credential: LPN
Phone: 480-250-7349