Organization
SERENITY NOW HEALTHCARE OF MS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP LAWING (OWNER)
(228) 596-2449
Entity
Organization
Contact information
Practice address
5011 VIRGINIA ST, BAY ST LOUIS, MS 39520-7010
(888) 371-1924
(888) 371-1924
Mailing address
5011 VIRGINIA ST, BAY ST LOUIS, MS 39520-7010
(888) 371-1924
(888) 371-1924
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251B00000X
Case Management Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
12/05/2017
Last updated
11/11/2020
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