| Inner Sanctuary Counseling Llc | |
|
11180 Hwy 51 S Ste 7 Pmb 1032 Atoka TN 38004 | |
| (808) 909-2111 | |
| (747) 666-0942 |
| Full Name | Inner Sanctuary Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 11180 Hwy 51 S, Atoka, Tennessee |
| Authorized Official Name and Position | Renee Rugile (CEO/OWNER) |
| Authorized Official Contact | 8089092115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Sanctuary Counseling Llc 11180 Hwy 51 S Ste 7 Pmb 1032 Atoka TN 38004 Ph: (808) 909-2111 | Inner Sanctuary Counseling Llc 11180 Hwy 51 S Ste 7 Pmb 1032 Atoka TN 38004 Ph: (808) 909-2111 |
| NPI Number | 1528723152 |
|---|---|
| Provider Enumeration Date | 11/08/2021 |
| Last Update Date | 01/18/2024 |
| Certification Date | 01/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528723152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Positive Impact Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 604 Walker Pkwy, Atoka, TN 38004 Phone: 901-604-3857 Fax: 877-744-3449 |