Healthcare Provider Details

I. General information

NPI: 1760393763
Provider Name (Legal Business Name): SERENITY SPRINGS HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

553 BEEBE RD
HARRINGTON DE
19952-1924
US

IV. Provider business mailing address

553 BEEBE RD
HARRINGTON DE
19952-1924
US

V. Phone/Fax

Practice location:
  • Phone: 302-632-3648
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SAMANTHA BREWER
Title or Position: PMHNP-BC
Credential: PMHNP-BC
Phone: 302-632-3648