Healthcare Provider Details

I. General information

NPI: 1528905908
Provider Name (Legal Business Name): SERENITY HEALING & RESTORATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2026
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 ENGLISH CT
VIRGINIA BEACH VA
23454-4252
US

IV. Provider business mailing address

1840 ENGLISH CT
VIRGINIA BEACH VA
23454-4252
US

V. Phone/Fax

Practice location:
  • Phone: 757-371-6116
  • Fax:
Mailing address:
  • Phone: 757-371-6116
  • 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: KATRINA WILLIAMS
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: LPC
Phone: 757-371-6116