Serenity Keepers
Clinic/Center (Adult Mental Health)

Address: 2033 Daniel Ct Apt 1, Lexington, KY 40504-1837
Phone: 8595515358

Serenity Keepers (NPI# 1396373304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1396373304
Entity Type Organization
Organization Name SERENITY KEEPERS
Practice Address 2033 Daniel Ct Apt 1
Lexington
KY 40504-1837
Practice Telephone 8595515358
Mailing Address 2033 Daniel Ct Apt 1
Lexington
KY 40504-1837
Mailing Telephone 8595515358
Authorized Official Name Nikki Corbin (CEO)
Authorized Official Telephone 7046050927
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-03-27
Last Update Date 2020-05-07

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 101YA0400X Counselor · Addiction (Substance Use Disorder) Behavioral Health & Social Service Providers
Yes 261QM0850X Clinic/Center · Adult Mental Health Ambulatory Health Care Facilities

Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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1164086013 Leonard A Clark Lcsw Psc Clinic/Center 200 W Lowry Ln, Lexington, KY 40503-3019 2019-04-25
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Office Location

Street Address 2033 DANIEL CT APT 1
City LEXINGTON
State KY
Zip Code 40504-1837

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NPI Name Taxonomy Address Enumeration
1740809953 Michael Jason Blocker Registered Nurse 1 St Hoseph Drive, Lexington, KY 40504 2020-04-09
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1366962474 Jessica Hope King Dentist 1330 Harrodsburg Road, Lexington, KY 40504 2017-06-21
1255861076 Mary Elizabeth Bailey Dentist 1330 Harrodsburg Rd, Lexington, KY 40504 2017-06-14
1295172211 Alan Kidon Podiatrist 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 2013-05-31
1578847554 Linda W Mcdaniel Pharmacist 2181 Harrodsburg Road, Lexington, KY 40504 2011-10-07
1578844197 Amber Kincaid Ballard Nurse Practitioner Uk Healthcare Team Blue Primary Care Clinic, 2400 Great Stone Point, Lexington, KY 40504 2011-09-09
1104118124 Harry W Tenfelde IIi Pharmacist 2284 Versailles Rd., Lexington, KY 40504 2011-05-10
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Competitor

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City LEXINGTON
Zip Code 40504

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.