MEDICARE: SERENITY INTEGRATIVE THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1013849017
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENITY INTEGRATIVE THERAPY

Provider Business Mailing Address
First Line	:	809 VALLEY OAKS LN
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76012-2866
Country	:	US
Telephone Number	:	325-266-1365
Fax Number	:

Provider Business Practice Location Address
First Line	:	413 W BETHEL RD STE 202
Second Line	:
City	:	COPPELL
State	:	TX
Zip	:	75019-4475
Country	:	US
Telephone Number	:	325-266-1365
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	SARAH BOND
Credential	:	LCSW
Telephone Number	:	325-266-1365

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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Directions to “SERENITY INTEGRATIVE THERAPY ” Practice Location

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