Provider Demographics
NPI:1326308081
Name:SERENITY RECOVERY SOLUTIONS, INC
Entity Type:Organization
Organization Name:SERENITY RECOVERY SOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERREL
Authorized Official - Middle Name:LINN
Authorized Official - Last Name:BARNHART
Authorized Official - Suffix:
Authorized Official - Credentials:MBS, LADC
Authorized Official - Phone:580-475-0148
Mailing Address - Street 1:PO BOX 1665
Mailing Address - Street 2:
Mailing Address - City:DURANT
Mailing Address - State:OK
Mailing Address - Zip Code:74702-1665
Mailing Address - Country:US
Mailing Address - Phone:580-475-0148
Mailing Address - Fax:580-475-0982
Practice Address - Street 1:9 N 11TH ST
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:OK
Practice Address - Zip Code:73533-4525
Practice Address - Country:US
Practice Address - Phone:580-475-0148
Practice Address - Fax:580-475-0982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-29
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK465101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty