METROPOLITAN SERENITY HOUSE (NPI# 1538305529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538305529 |
| Entity Type | Organization |
| Organization Name | METROPOLITAN SERENITY HOUSE |
| Other Organization Name | METROPOLITAN ATLANTA SERENITY HOUSE |
| Practice Address |
1300 Peachtree Pkwy Cumming GA 30041-9503 |
| Mailing Address |
564 Peachtree Pkwy Suite 107 Cumming GA 30041-9327 |
| Practice Telephone | 6789476550 |
| Practice Fax Number | 6789476594 |
| Mailing Telephone | 6789476550 |
| Mailing Fax Number | 8888776550 |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2009-04-21 |
| Authorized Official Name | ANNE B AMBROSE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6789476550 |
| Authorized Official Credential | MED. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 067-379-D | GA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Metropolitan Atlanta Serenity House | Former Legal Business Name - Organization |
| Street Address |
1300 PEACHTREE PKWY |
| City | CUMMING |
| State | GA |
| Zip Code | 30041-9503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922321074 | Recovery Outfitters, Inc. | Substance Abuse Rehabilitation Facility | 1300 Peachtree Pkwy, Cumming, GA 30041-9503 | 2010-03-03 |
| 1962642934 | Anne Ambrose | Counselor | 1300 Peachtree Pkwy, Cumming, GA 30041-9503 | 2009-03-03 |
| 1952549537 | Gail Beard | Counselor | 1300 Peachtree Pkwy, Cumming, GA 30041-9503 | 2009-02-04 |
| 1851538094 | Brandon Gilmer | Counselor | 1300 Peachtree Pkwy, Cumming, GA 30041-9503 | 2009-01-09 |
| 1407092075 | Sarah Hansard | Registered Nurse | 1300 Peachtree Pkwy, Cumming, GA 30041-9503 | 2009-01-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962036905 | Annie Kyungjin Han | Nurse Practitioner | 1505 Northside Forsyth Drive, Suite 2500, Cumming, GA 30041 | 2020-02-28 |
| 1295388197 | Pamela Edler | Pharmacist | 1200 Northside Forsyth Drive, Pharmacy Department, Cumming, GA 30041 | 2019-07-19 |
| 1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
| 1487140893 | Bhbd LLC | Chiropractor | 425 Peachtree Parkway, Suite 315, Cumming, GA 30041 | 2018-07-09 |
| 1891219861 | Anna Gawrys | Pharmacist | 1525 Marketplace Blvd, Cumming, GA 30041 | 2017-08-01 |
| 1679029219 | Square One Dental LLC | Clinic/Center | 3510 Rowe Lane, Cumming, GA 30041 | 2016-09-01 |
| 1720441454 | Pavilion Psychological Services LLC | Psychologist | 1445 Haw Creek Corners Circle East, Suite 501, Cumming, GA 30041 | 2016-03-31 |
| 1346606506 | American Health Imaging of Ga, LLC | Clinic/Center | 1050 Haw Creek Pkwy, Suite 100, Cumming, GA 30041 | 2016-01-04 |
| 1013311307 | Stephen Hartle | Physician Assistant | 2576 Peachtree Pkwy, Suite 100, Cumming, GA 30041 | 2014-10-15 |
| 1063828408 | Stephanie Evans Wellborn | Physician Assistant | 1800 Northside Forsyth Dr Ste 450, Cumming, GA 30041 | 2014-07-07 |
| Find all providers in zip 30041 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922321074 | Recovery Outfitters, Inc. | Substance Abuse Rehabilitation Facility | 1300 Peachtree Pkwy, Cumming, GA 30041-9503 | 2010-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457902041 | Southeast Addiction Center | Substance Abuse Rehabilitation Facility | 3020 Holcomb Bridge Rd Ste C, Norcross, GA 30071-1375 | 2019-09-25 |
| 1316591811 | Rockridge Behavioral Health LLC | Substance Abuse Rehabilitation Facility | 11030 Jones Bridge Rd Ste 301, Johns Creek, GA 30022-4560 | 2019-08-01 |
| 1225697840 | Aspire Treatment Solutions, LLC | Substance Abuse Rehabilitation Facility | 3850 Holcomb Bridge Rd Ste 215, Peachtree Corners, GA 30092-5219 | 2019-06-07 |
| 1114584570 | Metro Atlanta Treatment | Substance Abuse Rehabilitation Facility | 416 Roswell St Se, Marietta, GA 30060-2067 | 2019-05-21 |
| 1215492186 | Lanier Treatment Center | Substance Abuse Rehabilitation Facility | 592 Medical Park Dr Ste A, Gainesville, GA 30501-2055 | 2019-02-05 |
| 1700352739 | Blue Ridge Mountain Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 255 Depot St Ste 200, Ball Ground, GA 30107-4065 | 2018-10-17 |
| 1992209811 | Good Landing Recovery, Corporation | Substance Abuse Rehabilitation Facility | 256 Mcmillan Rd Ste B, Dacula, GA 30019-2337 | 2018-03-23 |
| 1164938361 | Atlanta Recovery Place | Substance Abuse Rehabilitation Facility | 1742 Mount Vernon Rd Ste 100, Atlanta, GA 30338-4251 | 2017-12-26 |
| 1548789860 | Phoenix Family Resource Center | Substance Abuse Rehabilitation Facility | 4284 Memorial Dr Ste D, Decatur, GA 30032-1220 | 2017-09-18 |
| 1104344068 | Summit Bhc Monroe, LLC | Substance Abuse Rehabilitation Facility | 723 Baxter St Ste C, Athens, GA 30605-1134 | 2017-08-31 |
| Find all providers with the same taxonomy | ||||
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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.