Provider Demographics
NPI:1396229431
Name:SERENITY SOLUTIONS BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:SERENITY SOLUTIONS BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:SOUTHERN
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:256-585-1967
Mailing Address - Street 1:115 LONGWOOD DR SW STE D
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4500
Mailing Address - Country:US
Mailing Address - Phone:256-588-1967
Mailing Address - Fax:256-531-9448
Practice Address - Street 1:115 LONGWOOD DR SW STE D
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4500
Practice Address - Country:US
Practice Address - Phone:256-652-1717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-24
Last Update Date:2018-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty