Provider Demographics
NPI:1700416856
Name:SERENITY HEALTH AND WELLNESS
Entity Type:Organization
Organization Name:SERENITY HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIONNEDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:281-620-4185
Mailing Address - Street 1:507 N SAM HOUSTON PKWY E STE 165
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060-4081
Mailing Address - Country:US
Mailing Address - Phone:713-828-2485
Mailing Address - Fax:832-900-8868
Practice Address - Street 1:507 N SAM HOUSTON PKWY E STE 165
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-4081
Practice Address - Country:US
Practice Address - Phone:888-258-1156
Practice Address - Fax:832-900-8868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-16
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty