Provider Demographics
NPI:1245726827
Name:HOPE & SERENITY HEALTH SERVICES
Entity type:Organization
Organization Name:HOPE & SERENITY HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER & DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TAMECA
Authorized Official - Middle Name:N
Authorized Official - Last Name:HARRIS-JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCSW, CSE
Authorized Official - Phone:407-308-0345
Mailing Address - Street 1:1400 S ORLANDO AVE STE 320
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-5543
Mailing Address - Country:US
Mailing Address - Phone:407-308-0345
Mailing Address - Fax:689-204-1475
Practice Address - Street 1:1400 S ORLANDO AVE STE 320
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-5543
Practice Address - Country:US
Practice Address - Phone:407-308-0345
Practice Address - Fax:689-204-1475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-06
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW150801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty