Healthcare Provider Details

I. General information

NPI: 1306763156
Provider Name (Legal Business Name): SERENITY HEALTH & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11611 S FOOTHILLS BLVD STE B
YUMA AZ
85367-5845
US

IV. Provider business mailing address

PO BOX 25119
YUMA AZ
85367-1304
US

V. Phone/Fax

Practice location:
  • Phone: 928-488-2099
  • Fax:
Mailing address:
  • Phone: 928-488-2099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LEORA CARTER
Title or Position: MANAGING MEMBER
Credential: APRN, FNP-C
Phone: 928-488-2099