# SERENITY AND GRACE HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952014375
- **Authorized official:** JOHN LEE (CEO)
- **Authorized official phone:** (347) 456-4647

## Contact information

- **Practice address:** 110 W MULBERRY ST STE 400, BALTIMORE, MD 21201-3606
- **Practice address phone:** (347) 456-4647
- **Mailing address:** 110 W MULBERRY ST STE 400, BALTIMORE, MD 21201-3606
- **Mailing address phone:** (347) 456-4647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0807X | Child & Adolescent Psychiatric/Mental Health Registered Nurse | — | NULL | Yes |
| 163WP0807X | Child & Adolescent Psychiatric/Mental Health Registered Nurse | — | — | Yes |
| 364SP0809X | Adult Psychiatric/Mental Health Clinical Nurse Specialist | — | NULL | — |
| 364SP0809X | Adult Psychiatric/Mental Health Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 12/30/2022
- **Last updated:** 09/21/2025