SERENITY ENTERPRISES INC (NPI# 1316153109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316153109 |
| Entity Type | Organization |
| Organization Name | SERENITY ENTERPRISES INC |
| Other Organization Name | WELLNESS AT ITS BEST |
| Practice Address |
27 Champlin Avenue Bellport NY 11713 |
| Mailing Address |
Po Box 2837 Serenity Enterprises Inc North Babylon NY 11703 |
| Practice Telephone | 6316615518 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. ADDIE HAMPTON (PRESIDENT) |
| Authorized Official Telephone | 6316615518 |
| Authorized Official Credential | CASAC LMHC CRC L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
12290 | NY | Behavioral Health & Social Service Providers |
| X | 101YM0800X |
Counselor Specialization: Mental Health |
0005621 | NY | Behavioral Health & Social Service Providers |
| X | 164W00000X | Licensed Practical Nurse | 098015 | NY | Nursing Service Providers |
| Other Name | Type Code |
|---|---|
| Wellness At Its Best | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | SERENITY ENTERPRISES INC. | 6568 Se King Rd, Port Orchard, WA 98367 |
| Street Address |
27 CHAMPLIN AVENUE |
| City | BELLPORT |
| State | NY |
| Zip Code | 11713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366643439 | Addie Hampton | Counselor | 27 Champlin Avenue, Bellport, NY 11713 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730621210 | Jessica Henderson-gray | Licensed Practical Nurse | 735 Walker Ave, Bellport, NY 11713 | 2016-11-15 |
| 1184166969 | Eshelai Jainese Fitzgerald | Licensed Practical Nurse | 138 New Jersey Ave, Bellport, NY 11713 | 2016-11-10 |
| 1437592557 | Rachel Boykin | Licensed Practical Nurse | 654 Meade Avenue, Bellport, NY 11713 | 2013-04-08 |
| 1922383702 | Gabrielle Maria Coyne | Student in an Organized Health Care Education/Training Program | 35 Kreamer Street, Bellport, NY 11713 | 2011-10-12 |
| 1003124595 | Cathy Jean Ekstrom | Speech-Language Pathologist | 352 Martha Ave, Bellport, NY 11713 | 2010-09-17 |
| 1841440401 | Colline Ann Murphy | Licensed Practical Nurse | 755 Bourdois Ave, Bellport, NY 11713 | 2008-09-19 |
| 1134398209 | Althea Lavernie Bullen | Registered Nurse | 548 Bellport Ave, Bellport, NY 11713 | 2008-02-22 |
| 1366646689 | Erica Martin | Counselor | 11 Farber Drive Unit D, Bellport, NY 11713 | 2007-06-12 |
| 1972641256 | Anne Dooling | Social Worker | 56 Bieselin Road, Bellport, NY 11713 | 2007-02-01 |
| 1447326368 | Joseph P Graskemper Dds Pllc | Dentist | 7 Bellport Lane, Bellport, NY 11713 | 2006-11-24 |
| Find all providers in zip 11713 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366646689 | Erica Martin | Counselor | 11 Farber Drive Unit D, Bellport, NY 11713 | 2007-06-12 |
| 1336221811 | Annmarie Jazylo | Counselor | 11 Farber Drive, Unit D, Bellport, NY 11713 | 2006-10-20 |
| 1053819334 | Mary Christine Climo | Counselor | 11 Farber Dr, Bellport, NY 11713-1500 | 2018-01-31 |
| 1093221178 | Caitlin Lamneck | Counselor | 11 Farber Dr, Bellport, NY 11713-1500 | 2017-12-27 |
| 1730695149 | Marissa Nicole Boscia-wittekind | Counselor | 11 Farber Dr Ste D, Bellport, NY 11713-1500 | 2017-12-20 |
| 1518323922 | Catherine Schneider | Counselor | 112 S Country Rd, Suite 210, Bellport, NY 11713-2534 | 2016-01-14 |
| 1164676805 | Jessica Pentecost | Counselor | 11 Farber Dr, Bellport, NY 11713-1500 | 2008-11-07 |
| 1477707289 | Conrado De La Garza | Counselor | 11 Farber Dr, Unit D, Bellport, NY 11713-1500 | 2008-11-06 |
| 1366643439 | Addie Hampton | Counselor | 27 Champlin Avenue, Bellport, NY 11713 | 2007-05-29 |
| 1497975759 | David Juan | Counselor | 11 Farber Drive, Unit D, Bellport, NY 11713 | 2007-04-27 |
| Find all providers in BELLPORT | ||||
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| 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.