Provider Demographics
NPI:1407731201
Name:SERENITY UPTOWN CONSULTING & CO
Entity type:Organization
Organization Name:SERENITY UPTOWN CONSULTING & CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-302-4332
Mailing Address - Street 1:819 VALLEY OAK DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27406-8225
Mailing Address - Country:US
Mailing Address - Phone:336-302-4332
Mailing Address - Fax:
Practice Address - Street 1:8011 N POINT BLVD
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-3879
Practice Address - Country:US
Practice Address - Phone:410-500-2761
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-11
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251S00000XAgenciesCommunity/Behavioral Health