Healthcare Provider Details

I. General information

NPI: 1730010265
Provider Name (Legal Business Name): SERENI HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3576 COVINGTON HWY STE 206E
DECATUR GA
30032-1800
US

IV. Provider business mailing address

3576 COVINGTON HWY STE 206E
DECATUR GA
30032-1800
US

V. Phone/Fax

Practice location:
  • Phone: 770-600-2458
  • Fax: 770-600-2459
Mailing address:
  • Phone: 770-600-2458
  • Fax: 770-600-2459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: PRINCESS SAMARRA WISE
Title or Position: OWNER-FNP
Credential: APRN, FNP-BC
Phone: 706-248-3330