=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497613780
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SERENITY HEALTH CLINIC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/14/2026
-----------------------------------------------------
Last Update Date | 01/14/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3945 BROAD ST
-----------------------------------------------------
City | PINE HILL
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 36769-2954
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 334-431-9390
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9925 COUNTY ROAD 63
-----------------------------------------------------
City | PLANTERSVILLE
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 36758-2853
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 334-349-3858
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | ANNA HUNTER
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 334-431-9390
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------