Provider Demographics
NPI:1033810312
Name:SERENITY'S PLACE
Entity Type:Organization
Organization Name:SERENITY'S PLACE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:KINDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BATTLES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:140-455-2315
Mailing Address - Street 1:8666 THOMAS RD
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30274-5193
Mailing Address - Country:US
Mailing Address - Phone:140-455-2315
Mailing Address - Fax:
Practice Address - Street 1:8666 THOMAS RD
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274-5193
Practice Address - Country:US
Practice Address - Phone:140-455-2315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-14
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty