Healthcare Provider Details

I. General information

NPI: 1992462253
Provider Name (Legal Business Name): SERENITY HEALTH & WELLNESS CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2021
Last Update Date: 08/01/2022
Certification Date: 08/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7344 PEARL RD STE 2B
CLEVELAND OH
44130-9602
US

IV. Provider business mailing address

7344 PEARL RD STE 2B
CLEVELAND OH
44130-9602
US

V. Phone/Fax

Practice location:
  • Phone: 440-625-0081
  • Fax: 440-625-0091
Mailing address:
  • Phone: 440-625-0081
  • Fax: 440-625-0091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SARA BROWN
Title or Position: CEO
Credential:
Phone: 440-503-9006