Healthcare Provider Details

I. General information

NPI: 1205716644
Provider Name (Legal Business Name): SERENITY THERAPY AND WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2025
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1355 TOWN HOME DR
APEX NC
27502-6899
US

IV. Provider business mailing address

1355 TOWN HOME DR
APEX NC
27502-6899
US

V. Phone/Fax

Practice location:
  • Phone: 919-530-0927
  • Fax:
Mailing address:
  • Phone: 919-530-0927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: KATHERINE FERENCE
Title or Position: COUNSELOR
Credential: LCMHC-A
Phone: 919-530-0927