Provider Demographics
NPI:1821564121
Name:SERENITY HEALTH AND WELLNESS LLC
Entity Type:Organization
Organization Name:SERENITY HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SHARIKA
Authorized Official - Middle Name:LAWANDA
Authorized Official - Last Name:SPROLING
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:501-690-0875
Mailing Address - Street 1:14911 PARKWAY MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDER
Mailing Address - State:AR
Mailing Address - Zip Code:72002-1827
Mailing Address - Country:US
Mailing Address - Phone:501-690-0875
Mailing Address - Fax:
Practice Address - Street 1:1 INNWOOD CIR STE 124
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-2448
Practice Address - Country:US
Practice Address - Phone:501-952-3222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-15
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty