Healthcare Provider Details

I. General information

NPI: 1144140229
Provider Name (Legal Business Name): SERENE COUNSELING AND CONSULTING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5016 ALENJA LN
RALEIGH NC
27616-5026
US

IV. Provider business mailing address

5016 ALENJA LN
RALEIGH NC
27616-5026
US

V. Phone/Fax

Practice location:
  • Phone: 248-935-8187
  • Fax:
Mailing address:
  • Phone: 248-935-8187
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SHERRI LYNN FORD-JACOBS
Title or Position: COUNSELOR SUPERVISOR/OWNER
Credential: LCMHCS
Phone: 248-935-8187