Healthcare Provider Details

I. General information

NPI: 1356290761
Provider Name (Legal Business Name): SERENITY BEHAVIORAL HEALTH AND WELLNESS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2026
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3750 W MULBERRY DR
PHOENIX AZ
85019-4239
US

IV. Provider business mailing address

3750 W MULBERRY DR
PHOENIX AZ
85019-4239
US

V. Phone/Fax

Practice location:
  • Phone: 602-682-5681
  • Fax: 602-682-5681
Mailing address:
  • Phone: 602-682-5681
  • Fax: 602-682-5681

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JOHN FITZGERALD
Title or Position: OWNER
Credential:
Phone: 602-682-5681