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SERENITY THERAPY SERVICES
NPI 1568060291
Counselor - Mental Health in Lake Wylie, SC

Active since October 14, 2020
4607 CHARLOTTE HWY STE 18, LAKE WYLIE, SC 29710(803) 620-5409 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 26, 2020, Oct 14, 2020 (2 updates tracked since 2020).

About Serenity Therapy Services NPPES

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

SERENITY THERAPY SERVICES (NPI 1568060291) is a healthcare organization registered as a mental health in Lake Wylie, South Carolina and active in the NPI registry since October 2020. The organization lists Rodney Ballard, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1568060291
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameSERENITY THERAPY SERVICES
Location Address4607 CHARLOTTE HWY STE 18Lake Wylie, SC 29710-8149
Mailing Address4607 Charlotte Hwy Ste 18Lake Wylie, SC 29710-8149 · (803) 620-5409
Phone(803) 620-5409
Organization SubpartNo
Authorized OfficialRodney BallardClinical Director · (803) 620-5777
Enumeration DateOctober 14, 2020
Last NPPES UpdateOctober 26, 20202 updates tracked since enumeration
NPPES CertifiedOctober 26, 2020
✔ NPI 1568060291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4607 CHARLOTTE HWY STE 18, Lake Wylie, SC 29710
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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.

MRS. KELLY MICHELLE WHITE LCMHC
Counselor (Mental Health)
4607 CHARLOTTE HWY STE 18
LAKE WYLIE, SC 29710
York County (803) 630-3247

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 Therapy Services's NPI number?

The NPI number for Serenity Therapy Services is 1568060291. It was assigned to this organization in the NPPES registry on October 14, 2020.

Where is Serenity Therapy Services located?

Serenity Therapy Services is located at 4607 Charlotte Hwy Ste 18, Lake Wylie, SC 29710. The listed phone number is (803) 620-5409.

What is Serenity Therapy Services's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Serenity Therapy Services was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.