Healthcare Provider Details

I. General information

NPI: 1467364695
Provider Name (Legal Business Name): SOLUTIONS TO SERENITY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2777 FRANK KILPATRICK RD
GRIFTON NC
28530-8768
US

IV. Provider business mailing address

2777 FRANK KILPATRICK RD
GRIFTON NC
28530-8768
US

V. Phone/Fax

Practice location:
  • Phone: 828-383-0491
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MAKENZIE WILBOURN
Title or Position: OWNER/PSYCHOTHERAPIST
Credential: LCMHC
Phone: 828-383-0491