Healthcare Provider Details

I. General information

NPI: 1487417481
Provider Name (Legal Business Name): SERENITY INNS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2024
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2830 W BROWN ST
MILWAUKEE WI
53208-1540
US

IV. Provider business mailing address

2825 W BROWN ST
MILWAUKEE WI
53208-1540
US

V. Phone/Fax

Practice location:
  • Phone: 414-873-5474
  • Fax:
Mailing address:
  • Phone: 414-873-5474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. KENNETH GINLACK
Title or Position: CEO/EXECUTIVE DIRECTOR
Credential: LCSW, CSAC, ICS
Phone: 414-539-7960