Healthcare Provider Details

I. General information

NPI: 1689442089
Provider Name (Legal Business Name): SERENITY & PEACE COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2023
Last Update Date: 09/29/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 E 7TH ST STE 7
CHARLOTTE NC
28204-2455
US

IV. Provider business mailing address

301 S MCDOWELL ST STE 125-1072
CHARLOTTE NC
28204-2623
US

V. Phone/Fax

Practice location:
  • Phone: 484-848-8700
  • Fax:
Mailing address:
  • Phone: 646-719-0445
  • Fax: 267-627-3140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: LARONDA BARKER
Title or Position: CLINICAL SOCIAL WORKER
Credential: LCSW
Phone: 484-848-8700