SERENITY AVE. INTEGRATIVE SERVICES LLC
NPI 1255930491
Clinic/Center - Multi-Specialty in Southfield, MI

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

Active since October 20, 2020

17330 NORTHLAND PARK CT, SOUTHFIELD, MI 48075(248) 422-1333 Get Directions Write a Review

NPPES record last updated: October 31, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 31, 2020, Oct 21, 2020 (2 updates tracked since 2020).

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About Serenity Ave. Integrative Services Llc NPPES

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

SERENITY AVE. INTEGRATIVE SERVICES LLC (NPI 1255930491) is a healthcare organization registered as a multi-specialty in Southfield, Michigan and active in the NPI registry since October 2020. The organization lists Karla Jordan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1255930491

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameSERENITY AVE. INTEGRATIVE SERVICES LLC

Location Address17330 NORTHLAND PARK CTSouthfield, MI 48075-4318

Mailing Address29494 Ashland Ave Apt 301Harrison Township, MI 48045-5742

Phone(248) 422-1333

Organization SubpartNo

Authorized OfficialKarla JordanCeo · (248) 422-1333

Enumeration DateOctober 20, 2020

Last NPPES UpdateOctober 31, 20202 updates tracked since enumeration

NPPES CertifiedOctober 31, 2020

✔ NPI 1255930491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

17330 NORTHLAND PARK CT, Southfield, MI 48075

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›