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SERENITY LANE
NPI 1073060182
Counselor - Addiction (Substance Use Disorder) in Roseburg, OR

Active since September 07, 2016
2575 NW KLINE ST, ROSEBURG, OR 97471(541) 673-3504(541) 673-4724 Get Directions Write a Review

NPPES record last updated: September 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Serenity Lane NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERENITY LANE (NPI 1073060182) is a healthcare organization registered as an addiction (substance use disorder) in Roseburg, Oregon and active in the NPI registry since September 2016. The organization lists Anthony William Haynes, Program Coordinator, as its authorized official.

NPPES Registry Identity

NPI1073060182
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameSERENITY LANE
Location Address2575 NW KLINE STRoseburg, OR 97471-8827
Mailing Address2575 Nw Kline StRoseburg, OR 97471-8827 · (541) 673-3504 · Fax (541) 673-4724
Phone(541) 673-3504
Fax(541) 673-4724
Organization SubpartNo
Authorized OfficialAnthony William HaynesProgram Coordinator · (541) 673-3504
Enumeration DateSeptember 7, 2016
✔ NPI 1073060182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · 13-12-59
2575 NW KLINE ST, Roseburg, OR 97471
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYDIA CORINE MEYER CADC 1
Counselor (Addiction (Substance Use Disorder))
2575 NW KLINE ST
ROSEBURG, OR 97471
Douglas County (541) 673-3504
LARISA IVANA CZERNOWSKI
Counselor (Addiction (Substance Use Disorder))
2575 NW KLINE ST
ROSEBURG, OR 97471
Douglas County (541) 673-3504
TODD ALLYN BRYSON CADC I
Counselor (Addiction (Substance Use Disorder))
2575 NW KLINE ST
ROSEBURG, OR 97471
Douglas County (541) 673-3504
GEORGE CHARLES SPURNY MAC, CADC III, ACRPS
Counselor (Mental Health)
2575 NW KLINE ST
ROSEBURG, OR 97471
Douglas County (541) 673-3504
KAY TANNER CADC L
Counselor (Addiction (Substance Use Disorder))
2575 NW KLINE ST
ROSEBURG, OR 97471
Douglas County (541) 673-3504
MICHELLE WISSEL CADC
Counselor (Addiction (Substance Use Disorder))
2575 NW KLINE ST
ROSEBURG, OR 97471
Douglas County (541) 673-3504
KRISTIE CAUSEY
Counselor (Addiction (Substance Use Disorder))
2575 NW KLINE ST
ROSEBURG, OR 97471
Douglas County (541) 673-3504
KAYLA GRACE DARLING
Counselor (Addiction (Substance Use Disorder))
2575 NW KLINE ST
ROSEBURG, OR 97471
Douglas County (541) 673-3504

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Serenity Lane's NPI number?

The NPI number for Serenity Lane is 1073060182. It was assigned to this organization in the NPPES registry on September 7, 2016.

Where is Serenity Lane located?

Serenity Lane is located at 2575 NW Kline St, Roseburg, OR 97471. The listed phone number is (541) 673-3504.

What is Serenity Lane's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Serenity Lane was last updated on September 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.