Healthcare Provider Details

I. General information

NPI: 1194402248
Provider Name (Legal Business Name): SERENITY WELLNESS MENTAL HEALTH CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2023
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 FREDERICK RD STE 11
BALTIMORE MD
21228-4607
US

IV. Provider business mailing address

405 FREDERICK RD STE 11
BALTIMORE MD
21228-4607
US

V. Phone/Fax

Practice location:
  • Phone: 443-857-5355
  • Fax:
Mailing address:
  • Phone:
  • Fax: 443-281-6333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. CHIAMAKA NNAH
Title or Position: CEO
Credential: CRNP
Phone: 443-468-4838