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SERENITY4LIFE, LLC
NPI 1205485463
Speech-Language Pathologist in Ellenwood, GA

Active since September 10, 2019
2316 DEER SPRINGS DR, ELLENWOOD, GA 30294(404) 391-7200 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 27, 2022, Sep 10, 2019 (2 updates tracked since 2019).

About Serenity4life, Llc NPPES

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

SERENITY4LIFE, LLC (NPI 1205485463) is a healthcare organization registered as a speech-language pathologist in Ellenwood, Georgia and active in the NPI registry since September 2019. The organization lists Wanda Shaw, Owner, as its authorized official.

NPPES Registry Identity

NPI1205485463
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameSERENITY4LIFE, LLC
Location Address2316 DEER SPRINGS DREllenwood, GA 30294-1168
Mailing Address2316 Deer Springs DrEllenwood, GA 30294-1168 · (678) 540-1009
Phone(404) 391-7200
Organization SubpartNo
Authorized OfficialWanda ShawOwner · (678) 540-1009
Enumeration DateSeptember 10, 2019
Last NPPES UpdateOctober 27, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2022
✔ NPI 1205485463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedOccupational TherapistTaxonomy 225X00000X
2316 DEER SPRINGS DR, Ellenwood, GA 30294
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

IMANI WILLIAMS
Speech-Language Pathologist
2316 DEER SPRINGS DR
ELLENWOOD, GA 30294
Clayton County (785) 401-0096

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 Serenity4life, LLC's NPI number?

The NPI number for Serenity4life, LLC is 1205485463. It was assigned to this organization in the NPPES registry on September 10, 2019.

Where is Serenity4life, LLC located?

Serenity4life, LLC is located at 2316 Deer Springs Dr, Ellenwood, GA 30294. The listed phone number is (404) 391-7200.

What is Serenity4life, LLC's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Serenity4life, LLC was last updated on October 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.