SERENITY PSYCHIATRIC OUTPATIENT, LLC (NPI# 1083903298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083903298 |
| Entity Type | Organization |
| Organization Name | SERENITY PSYCHIATRIC OUTPATIENT, LLC |
| Other Organization Name | COLONIAL HAVEN REHAB |
| Practice Address |
616 Armory St Greensboro AL 36744-2110 |
| Mailing Address |
4109 Highway 98 W Summit MS 39666-9132 |
| Practice Telephone | 3346243360 |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2011-03-29 |
| Authorized Official Name | DEBBIE WHITE (ACCOUNTS PAYABLE) |
| Authorized Official Telephone | 6012763909 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| COLONIAL HAVEN REHAB | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578834198 | Serenity Psychiatric Outpatient, LLC | Social Worker | 1000 Mckeen Pl, Monroe, LA 71201-4406 | 2012-01-13 |
| 1881973642 | Serenity Psychiatric Outpatient, LLC | Social Worker | 300 Rawls Dr Ste 900, Mccomb, MS 39648-2864 | 2011-08-11 |
| Street Address |
616 ARMORY ST |
| City | GREENSBORO |
| State | AL |
| Zip Code | 36744-2110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245343722 | American Health Corporation and Subsidiaries | Skilled Nursing Facility | 616 Armory St, Greensboro, AL 36744-2110 | 2006-08-17 |
| 1679866107 | Thomas Martin | Physical Therapy Assistant | 616 Armory St, Greensboro, AL 36744-2110 | 2011-05-17 |
| 1720387780 | Ryan Epper | Physical Therapy Assistant | 616 Armory St, Greensboro, AL 36744-2110 | 2011-03-16 |
| 1922313360 | Casandra Melton | Physical Therapy Assistant | 616 Armory St, Greensboro, AL 36744-2110 | 2010-08-10 |
| 1558693440 | Amy Long | Speech-Language Pathologist | 616 Armory St, Greensboro, AL 36744-2110 | 2010-02-03 |
| 1194057158 | Kristen Sanderson | Occupational Therapist | 616 Armory St, Greensboro, AL 36744-2110 | 2010-02-02 |
| 1629300678 | Inger Eaton | Occupational Therapy Assistant | 616 Armory St, Greensboro, AL 36744-2110 | 2010-02-02 |
| 1124350186 | Stephanie Mills | Physical Therapy Assistant | 616 Armory St, Greensboro, AL 36744-2110 | 2010-02-02 |
| 1033441142 | Emily Marshall | Speech-Language Pathologist | 616 Armory St, Greensboro, AL 36744-2110 | 2010-02-01 |
| 1902137706 | Carrie Williams | Physical Therapy Assistant | 616 Armory St, Greensboro, AL 36744-2110 | 2010-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285655936 | Whatley Health Services Inc | Clinic/Center | 800 Hall St, Greensboro, AL 36744 | 2006-07-21 |
| 1497871495 | Helping Hands Therapy | Speech-Language Pathologist | 1502 Main St, Greensboro, AL 36744 | 2007-03-21 |
| 1558567925 | Hale County | Local Education Agency (LEA) | 1115 Powers St, Greensboro, AL 36744-1219 | 2007-06-22 |
| 1487797163 | Hale County Health Dept Adult Immun | Public Health or Welfare | 1102 Centerville St, Greensboro, AL 36744-1300 | 2007-02-14 |
| 1952436065 | State of Alabama Department of Public Health | Public Health or Welfare | 1102 Centerville St, Greensboro, AL 36744-1300 | 2007-02-22 |
| 1194869917 | Hale County Health Dept Fp Cm | Case Management | 1102 Centerville St, Greensboro, AL 36744-1300 | 2007-02-16 |
| 1003950841 | Hale County Health Dept Prev Health Ed | Public Health or Welfare | 1102 Centerville St, Greensboro, AL 36744-1300 | 2007-02-16 |
| 1699819615 | Hale County Health Dept Vfc Immun | Public Health or Welfare | 1102 Centerville St, Greensboro, AL 36744-1300 | 2007-02-16 |
| 1356485353 | Hale County Health Dept Pat 1st Cm | Case Management | 1102 Centerville St, Greensboro, AL 36744-1300 | 2007-02-16 |
| 1932243714 | Hale County Health Dept Epsdt Cm | Case Management | 1102 Centerville St, Greensboro, AL 36744-1300 | 2007-02-16 |
| Find all providers in zip 36744 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877929 | Midge Spong | Social Worker | 1603 Regents Park Ln, Greensboro, NC 27455-0807 | 2020-10-08 |
| 1336755370 | Imari Jacoya Brower | Social Worker | 16 Summertree Ln Apt G, Greensboro, NC 27406-5635 | 2020-09-16 |
| 1447864947 | Kelsey Walker | Social Worker | 5 Oak Branch Dr Ste G, Greensboro, NC 27407-2157 | 2020-09-02 |
| 1225640469 | Madario Lampkins | Social Worker | 2311 W Cone Blvd Ste 223, Greensboro, NC 27408-4067 | 2020-08-19 |
| 1427669266 | Esmeralda Mendez | Social Worker | 16 Oak Branch Dr Ste A, Greensboro, NC 27407-2119 | 2020-08-14 |
| 1720605686 | Sheilagh Harrington | Social Worker | 308 Pomona Dr Ste Ab, Greensboro, NC 27407-1665 | 2020-06-26 |
| 1588289862 | Life Transitions Counseling, LLC | Social Worker | 1140 Westchester, Greensboro, GA 30642-3495 | 2020-06-11 |
| 1134758998 | Kirstin Cassell | Social Worker | 3403 Kenmore St, Greensboro, NC 27408-2907 | 2020-04-03 |
| 1609402866 | Susan Porter | Social Worker | 509 N Elam Ave Ste 3e, Greensboro, NC 27403-1129 | 2020-03-19 |
| 1851922454 | Chelsea Nicole Miller | Social Worker | 5509 W Friendly Ave Ste 104b, Greensboro, NC 27410-4211 | 2020-02-01 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 36744 |
Please comment or provide details below to improve the information on SERENITY PSYCHIATRIC OUTPATIENT, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.