SERENITY CANDLES & SOAPS, INC.


Address: 1872 Chedworth Ln, Stone Mountain, GA 30087-2121
Phone: 7707336004

SERENITY CANDLES & SOAPS, INC. (NPI# 1639515992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639515992
Entity Type Organization
Organization Name SERENITY CANDLES & SOAPS, INC.
Other Organization Name JEN'S HOUSE
Practice Address 1872 Chedworth Ln
Stone Mountain
GA 30087-2121
Practice Telephone 7707336004
Mailing Telephone 7707336004
Enumeration Date 2013-05-14
Last Update Date 2013-05-14
Authorized Official Name MR. VERNON B. BUCKMON (PRESIDENT/GENERAL MANAGER)
Authorized Official Telephone 7707336004
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider/Organization Names

Other Name Type Code
Jen's House Doing Business As Name - Organization

Office Location

Street Address 1872 CHEDWORTH LN
City STONE MOUNTAIN
State GA
Zip Code 30087-2121

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1003302688 Mark Andrew Stevens Physical Therapist 1227 Rockbridge Rd Ste 402, Stone Mountain, GA 30087 2018-07-06
1154816825 Tuan Minh Khong Physician Assistant 6301 Southland Rdg, Stone Mountain, GA 30087 2018-06-26
1215429881 Stephanie Martin Nurse Practitioner 2720 S Rockbridge Rd, Stone Mountain, GA 30087 2018-05-30
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1609128917 Mary Marlene Muse Lactation Consultant, Non-RN 510 Navarre Drive, Stone Mountain, GA 30087 2012-10-10
1457680704 Cleo Evans Counselor 5638 Manassas Run, Stone Mountain, GA 30087 2009-12-16
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

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NPI Name Taxonomy Address Enumeration
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1457908303 Arms Wide Open Community/Behavioral Health 871 Forest Path, Stone Mountain, GA 30088-2245 2019-08-23
1821546995 Change Agents Counseling & Consulting, LLC Community/Behavioral Health 5115 Chastleton Dr, Stone Mountain, GA 30087-1443 2016-09-16
1881077659 Latisha Mcwilliams Community/Behavioral Health 4346 Crestridge Ln, Stone Mountain, GA 30083-6104 2015-06-29
1891174256 Andrea Teresa Ashe Community/Behavioral Health 4666 Randalwood Dr, Stone Mountain, GA 30083-4350 2015-05-19
1841600871 Diversified Counseling & Counsulting Community/Behavioral Health 490 S Stone Mtn Lithonia Rd, 88, Stone Mountain, GA 30088-1532 2014-04-29
1992128995 New Progressions of Georgia, LLC Community/Behavioral Health 1298 Rockbridge Rd, Suite D, Stone Mountain, GA 30087-3000 2014-01-27
1962824466 Ican Think Positive Counseling and Coaching Services Community/Behavioral Health 5405 Memorial Dr Bldg C, Stone Mountain, GA 30083-3234 2014-01-17
1194158253 The Counseling Healing Center, LLC Community/Behavioral Health 5300 Memorial Dr Ste 141, Stone Mountain, GA 30083-3155 2013-08-13
1295075323 Gentia Behavioral Health Systems Inc. Community/Behavioral Health 5468 Memorial Dr, Suite D, Stone Mountain, GA 30083-3267 2013-02-27
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Competitor

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City STONE MOUNTAIN
Zip Code 30087

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Dataset Information

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.

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