| Serenity Healing, Llc | |
|
207 N Boone St Suite 17 Johnson City TN 37604-5675 | |
| (423) 926-4327 | |
| (423) 926-4327 |
| Full Name | Serenity Healing, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 207 N Boone St, Johnson City, Tennessee |
| Authorized Official Name and Position | Jamye Leigh Carr (CEO) |
| Authorized Official Contact | 4232187851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Healing, Llc 773 Summit Dr Jonesborough TN 37659-5858 Ph: (423) 218-7851 | Serenity Healing, Llc 207 N Boone St Suite 17 Johnson City TN 37604-5675 Ph: (423) 926-4327 |
| NPI Number | 1639627524 |
|---|---|
| Provider Enumeration Date | 09/20/2016 |
| Last Update Date | 09/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639627524 | NPI | - | NPPES |
| Q022731 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2757 (Tennessee) | Primary |
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