| 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 |
|---|---|
| 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 | () | Primary |
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