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General NPI Number Information
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NPI Number | 1215283122
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Entity Type | Organization
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Legal Business Name | SERENITY LIVING, LLC
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Dates
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Enumeration Date | 07/28/2012
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 1341 KING ARTHUR DR
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City | CHESAPEAKE
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State | VA
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Zip | 23323-2825
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Country | US
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Telephone | 757-487-4272
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6185
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City | CHESAPEAKE
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State | VA
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Zip | 23323-0185
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Country | US
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Telephone | 757-487-4272
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CORIE BROWN
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Credential |
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Telephone | 757-892-0757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | 1943
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License Number State | VA
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