Healthcare Provider Details

I. General information

NPI: 1285494989
Provider Name (Legal Business Name): SERENITY4U, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2024
Last Update Date: 04/06/2024
Certification Date: 04/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6620 OLD GREENSBORO RD
CHAPEL HILL NC
27516-8529
US

IV. Provider business mailing address

6620 OLD GREENSBORO RD
CHAPEL HILL NC
27516-8529
US

V. Phone/Fax

Practice location:
  • Phone: 919-619-4193
  • Fax:
Mailing address:
  • Phone: 919-619-4193
  • Fax: 919-619-4193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. LINDA BRANDT HAMMOCK
Title or Position: ORGANIZER, MANAGER
Credential: LCAS, LCMHC
Phone: 919-619-4193