Provider Demographics
NPI:1881307585
Name:SERENITY MIDWIFERY & BIRTH CENTER
Entity type:Organization
Organization Name:SERENITY MIDWIFERY & BIRTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CERTIFIED NURSE-MIDWIFE
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:ANDRAIA
Authorized Official - Last Name:GREENE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, APRN, CNM
Authorized Official - Phone:972-827-7689
Mailing Address - Street 1:721 HOLDER ROAD
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:76041-2112
Mailing Address - Country:US
Mailing Address - Phone:972-872-7689
Mailing Address - Fax:469-694-8464
Practice Address - Street 1:741 HOLDER ROAD
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:76041-2112
Practice Address - Country:US
Practice Address - Phone:972-872-7689
Practice Address - Fax:469-694-8464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-28
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing