Healthcare Provider Details

I. General information

NPI: 1598618142
Provider Name (Legal Business Name): SERENITY TOUCH MASSAGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2026
Last Update Date: 02/16/2026
Certification Date: 02/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28551 SOUTHFIELD RD STE 110
LATHRUP VILLAGE MI
48076-2723
US

IV. Provider business mailing address

1454 ZORN ST
WESTLAND MI
48186-4832
US

V. Phone/Fax

Practice location:
  • Phone: 248-905-1026
  • Fax:
Mailing address:
  • Phone: 248-905-1026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: EUTRICEKA COLLINS
Title or Position: OWNER
Credential:
Phone: 313-378-9447