Provider Demographics
NPI:1952287757
Name:SERENITY PSYCHIATRY OF RALEIGH, PLLC
Entity type:Organization
Organization Name:SERENITY PSYCHIATRY OF RALEIGH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PA-C, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:H
Authorized Official - Last Name:ASHTON
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:919-649-8060
Mailing Address - Street 1:5904 PINE TREE CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-4244
Mailing Address - Country:US
Mailing Address - Phone:919-649-8060
Mailing Address - Fax:
Practice Address - Street 1:5904 PINE TREE CT
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-4244
Practice Address - Country:US
Practice Address - Phone:919-649-8060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty