Organization
SERENITY MINDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GWENDOLYN GREATHOUSE (OWNER)
(313) 717-6633
Entity
Organization
Contact information
Practice address
18121 E 8 MILE RD STE 305, EASTPOINTE, MI 48021-3257
(313) 717-6633
Mailing address
18121 E 8 MILE RD STE 305, EASTPOINTE, MI 48021-3257
(313) 717-6633
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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