SERENITY SUPPORT SERVICES
NPI 1043159171
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Charlotte, NC

Active since March 25, 2026
8424 N TRYON ST UNIT 330, CHARLOTTE, NC 28262(704) 564-6632 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Residential Treatment Facility, Intellec...

About SERENITY SUPPORT SERVICES

This page provides the complete NPI Profile along with additional information for Serenity Support Services, a provider established in Charlotte, North Carolina operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1043159171 assigned on March 2026. The practitioner's primary taxonomy code is 320600000X. The provider is registered as an organization and their NPI record was last updated March 2026. The authorized official of this NPI record is Teshaona Peets-butcher (Owner)

NPI
1043159171 Verify this NPI
Provider Name
SERENITY SUPPORT SERVICES
Entity Type
Organization
Location Address
8424 N TRYON ST UNIT 330 CHARLOTTE, NC 28262
Location Phone
(704) 564-6632
Mailing Address
8424 N TRYON ST UNIT 330 CHARLOTTE, NC 28262
Mailing Phone
(704) 564-6632
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-25-2026
Last Update Date
03-25-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TESHAONA PEETS-BUTCHER

Authorized Official Title
OWNER
Authorized Official Phone
(704) 564-6632

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043159171, enumerated as an "organization" on March 25, 2026.

The provider is located at 8424 N TRYON ST UNIT 330 CHARLOTTE, NC 28262 and the phone number is (704) 564-6632.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.