Healthcare Provider Details

I. General information

NPI: 1144149246
Provider Name (Legal Business Name): SERENE SPEECH THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11081 COVENTRY CT
TAYLOR MI
48180-7543
US

IV. Provider business mailing address

11081 COVENTRY CT
TAYLOR MI
48180-7543
US

V. Phone/Fax

Practice location:
  • Phone: 734-620-1927
  • Fax:
Mailing address:
  • Phone: 734-620-1927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: NOELLE EDWIN
Title or Position: SPEECH-LANGUAGE PATHOLOGIST
Credential:
Phone: 734-262-4790