Provider Demographics
NPI:1861367773
Name:SERENITY MENTAL WELLNESS GROUP LLC
Entity type:Organization
Organization Name:SERENITY MENTAL WELLNESS GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:YVETTE
Authorized Official - Middle Name:L
Authorized Official - Last Name:ALLEN-TATUM
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:804-405-9743
Mailing Address - Street 1:5421 STONE LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23227-2647
Mailing Address - Country:US
Mailing Address - Phone:804-405-9743
Mailing Address - Fax:866-681-2172
Practice Address - Street 1:5421 STONE LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23227-2647
Practice Address - Country:US
Practice Address - Phone:804-405-9743
Practice Address - Fax:866-681-2172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-09
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty