Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Serenity Lane

Organization Addiction (Substance Use Disorder) Counselor · NPI 1073060182

Serenity Lane is an Addiction (Substance Use Disorder) Counselor in Roseburg, Oregon. Licensed in Oregon. Registered with an NPI since 2016.

Licensed in
OR
In the registry since
2016

Practice location Address checks out

2575 NW Kline St
Roseburg, OR 97471-8827
Phone: (541) 673-3504
Fax: (541) 673-4724
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 13-12-59 (OR)

Record details

NPI number1073060182
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Haynes — Program Coordinator · (541) 673-3504
NPI enumeratedSeptember 7, 2016
Last updated in NPPESSeptember 7, 2016
Mailing address2575 Nw Kline St, Roseburg, OR 97471-8827

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