Provider Demographics
NPI:1740554393
Name:SERENITY HEALTH CONSULTANTS, INC.
Entity type:Organization
Organization Name:SERENITY HEALTH CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:MRS
Authorized Official - First Name:BUFFY
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-980-1722
Mailing Address - Street 1:111 GILL ST
Mailing Address - Street 2:
Mailing Address - City:ALCOA
Mailing Address - State:TN
Mailing Address - Zip Code:37701-2672
Mailing Address - Country:US
Mailing Address - Phone:865-980-1722
Mailing Address - Fax:865-980-3320
Practice Address - Street 1:111 GILL ST
Practice Address - Street 2:
Practice Address - City:ALCOA
Practice Address - State:TN
Practice Address - Zip Code:37701-2672
Practice Address - Country:US
Practice Address - Phone:865-980-1722
Practice Address - Fax:865-980-3320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-29
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN676930261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain