Provider Demographics
NPI:1932099363
Name:SERENITY SOLUTIONS HEALTHCARE LLC
Entity type:Organization
Organization Name:SERENITY SOLUTIONS HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-481-4637
Mailing Address - Street 1:10805 DOYLE BLVD
Mailing Address - Street 2:
Mailing Address - City:MC KENNEY
Mailing Address - State:VA
Mailing Address - Zip Code:23872-2547
Mailing Address - Country:US
Mailing Address - Phone:804-481-4637
Mailing Address - Fax:804-481-4637
Practice Address - Street 1:10805 DOYLE BLVD
Practice Address - Street 2:
Practice Address - City:MC KENNEY
Practice Address - State:VA
Practice Address - Zip Code:23872-2547
Practice Address - Country:US
Practice Address - Phone:804-481-4637
Practice Address - Fax:804-481-4637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty