Organization
SERENE ROOTS WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA BUTTS RN (OWNER)
(423) 390-0511
Entity
Organization
Contact information
Practice address
1536 BRIDGEWATER LN STE 104, KINGSPORT, TN 37660-4103
(423) 390-0511
Mailing address
1536 BRIDGEWATER LN STE 104, KINGSPORT, TN 37660-4103
(423) 390-0511
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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