Provider Demographics
NPI:1851143218
Name:SERENITY COMFORT AND CARE
Entity Type:Organization
Organization Name:SERENITY COMFORT AND CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER LICENSED CLINICIAL SOCIAL WOR
Authorized Official - Prefix:MS
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:MCWILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:980-318-7049
Mailing Address - Street 1:2125 SOUTHEND DR APT 320
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-5056
Mailing Address - Country:US
Mailing Address - Phone:980-318-7046
Mailing Address - Fax:833-733-1249
Practice Address - Street 1:3719 LATROBE DR STE 810
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-5300
Practice Address - Country:US
Practice Address - Phone:980-221-0064
Practice Address - Fax:833-733-1249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty