Renew Tranquility, Llc | |
1775 Parker Rd Se Ste 210 Conyers GA 30094-6654 | |
(470) 430-4948 | |
Not Available |
Full Name | Renew Tranquility, Llc |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 1775 Parker Rd Se Ste 210, Conyers, Georgia |
Authorized Official Name and Position | Sabrina Karma Hudnall (OWNER) |
Authorized Official Contact | 4704304948 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Renew Tranquility, Llc 101 Geyser Pl Stockbridge GA 30281-0969 Ph: (678) 468-0001 | Renew Tranquility, Llc 1775 Parker Rd Se Ste 210 Conyers GA 30094-6654 Ph: (470) 430-4948 |
NPI Number | 1174176242 |
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Provider Enumeration Date | 07/18/2019 |
Last Update Date | 07/18/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174176242 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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