Black Serene, Pllc
NPI #1184472573 in Fayetteville, North Carolina
Provider Information
- NPI Number
- 1184472573
- Entity Type
- Organization
- Organization Name
- Black Serene, Pllc
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- May 9, 2024
- Last Updated
- Sep 20, 2025
Practice Location
- Address
- 3350 FOOTBRIDGE LN
- Address 2
- STE 124 #524
- City
- Fayetteville
- State
- North Carolina
- ZIP Code
- 28306-9695
- Phone
- (404) 649-5274
Authorized Official
- Name
- DAZZMEN NIKOLE DAVIS, LCMHC, LPC
- Title
- PRACTICE OWNER/LICENSED COUNSELOR
- Phone
- (404) 649-5274
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
| Clinic/Center - Health Service — Health Service |
| Counselor - Mental Health — Mental Health |
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