Healthcare Provider Details

I. General information

NPI: 1477496321
Provider Name (Legal Business Name): SERENITY MCMAHAND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10106 KRAUSE RD
CHESTERFIELD VA
23832-6572
US

IV. Provider business mailing address

5101 OLD MAIN ST APT 432
HENRICO VA
23231-3014
US

V. Phone/Fax

Practice location:
  • Phone: 804-306-8909
  • Fax:
Mailing address:
  • Phone: 804-939-1930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: