Provider Demographics
NPI:1326921917
Name:CANTRELL INSPECTION GROUP SERENITY SPRINGS WELLNESS
Entity type:Organization
Organization Name:CANTRELL INSPECTION GROUP SERENITY SPRINGS WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:JEANETTE
Authorized Official - Middle Name:HAYNES
Authorized Official - Last Name:CHIVVIS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:972-809-9597
Mailing Address - Street 1:316 HARBOR LANDING DR
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-2413
Mailing Address - Country:US
Mailing Address - Phone:972-809-9597
Mailing Address - Fax:
Practice Address - Street 1:3705 LAKEVIEW PKWY STE 203
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-4178
Practice Address - Country:US
Practice Address - Phone:972-809-9597
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty