Provider Demographics
NPI:1851094262
Name:SERENITY WELLNESS GROUP, INC.
Entity Type:Organization
Organization Name:SERENITY WELLNESS GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:QAADIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:WARITH-MUHAMMAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-243-6800
Mailing Address - Street 1:205 TEMPLE AVE
Mailing Address - Street 2:
Mailing Address - City:COLONIAL HEIGHTS
Mailing Address - State:VA
Mailing Address - Zip Code:23834-2827
Mailing Address - Country:US
Mailing Address - Phone:804-243-5800
Mailing Address - Fax:804-503-4980
Practice Address - Street 1:2306 BOULEVARD STE B
Practice Address - Street 2:
Practice Address - City:COLONIAL HEIGHTS
Practice Address - State:VA
Practice Address - Zip Code:23834-2320
Practice Address - Country:US
Practice Address - Phone:804-243-6800
Practice Address - Fax:804-203-4980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health