SERENE CONCEPTS PC (NPI# 1265082341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265082341 |
| Entity Type | Organization |
| Organization Name | SERENE CONCEPTS PC |
| Practice Address |
500 Lanier Ave W Ste 801g Fayetteville GA 30214-7642 |
| Mailing Address |
Po Box 1149 Fayetteville GA 30214-6149 |
| Practice Telephone | 3024552002 |
| Mailing Telephone | 2485066867 |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-09-19 |
| Authorized Official Name | MFON MALACHY INYANG (CEO) |
| Authorized Official Telephone | 2485066867 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Serene Behavioral Concepts | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 572 Maddox Dr Ste 218, Ellijay, GA 305406032 | 3024552002 |
| Street Address |
500 LANIER AVE W STE 801G |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-7642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508379967 | Empowered2shift | Clinic/Center | 351 Wagoner Dr Ste 200, Fayetteville, NC 28303-4672 | 2017-11-08 |
| 1114159928 | Kevin L Deloach | Clinic/Center | 6111 Conaway Dr, Fayetteville, NC 28314-2700 | 2009-08-12 |
| 1497911234 | Carnegie Behavioral Health Services, LLC | Clinic/Center | 175 Carnegie Pl Ste 109, Fayetteville, GA 30214-7903 | 2008-07-31 |
| 1700426731 | Life Strategies Counseling, Inc | Clinic/Center | 2961 N Point Cir, Fayetteville, AR 72704-6986 | 2020-01-07 |
| 1689183493 | Crossbeam Counseling Centers | Clinic/Center | 1017 Hope Mills Rd, Fayetteville, NC 28304-4234 | 2017-09-25 |
| 1902179294 | Alexander Youth Network | Clinic/Center | 1540 Purdue Dr, Suite, Fayetteville, NC 28303-5509 | 2012-02-16 |
| 1417111048 | United Methodist Behavioral Health System, Inc. | Clinic/Center | 74 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2008-07-13 |
| 1295920171 | Zephyr Meadows, PC | Clinic/Center | 170 Whitney St, Fayetteville, GA 30214-2012 | 2007-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451265 | Chrystal Care | Clinic/Center | 3206 Stratford Cir, Morrow, GA 30260-8111 | 2020-09-08 |
| 1114536372 | The Mindful Match, LLC | Clinic/Center | 528b Angier Ave Ne, Atlanta, GA 30308-2902 | 2020-07-23 |
| 1427666817 | Atlanta Child and Family Therapy, LLC | Clinic/Center | 2144 Kodiak Dr Ne, Atlanta, GA 30345-4150 | 2020-07-21 |
| 1407474778 | Your Way Out, LLC | Clinic/Center | 2330 Scenic Hwy S Ste 316, Snellville, GA 30078-3115 | 2020-07-13 |
| 1073141271 | Monte Nido Georgia LLC | Clinic/Center | 126 Johnson Ferry Road Ne, Sandy Springs, GA 30328-3004 | 2020-04-01 |
| 1700418142 | Behavior Therapy Solutions LLC | Clinic/Center | 4744 N Royal Atlanta Dr Ste A, Tucker, GA 30084-3820 | 2020-02-04 |
| 1730721036 | Brown Professional Counseling & Consultation Services, LLC | Clinic/Center | 1105 Russell Pkwy Ste 2, Warner Robins, GA 31088-5586 | 2019-10-09 |
| 1184182115 | Pathways To Recovery Associates Inc. | Clinic/Center | 7210 Church St, Riverdale, GA 30274-2918 | 2019-03-08 |
| 1336614254 | Learn & Grow Family Counseling, LLC | Clinic/Center | 327 Dahlonega St Ste 402, Cumming, GA 30040-2486 | 2018-10-07 |
| 1790271633 | Jill Elizabeth Gresham | Clinic/Center | 750 Hammond Dr Ste 100, Atlanta, GA 30328-5532 | 2018-07-03 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
Please comment or provide details below to improve the information on SERENE CONCEPTS PC.
| 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.