Organization · NPI-2
Maternal Insync LLC
Clinic/Center, Adult Mental Health · Mableton, GA
NPI number1356700041
StatusActive
Last updated in NPPESFeb 23, 2016
Details
- NPI
- 1356700041
- Entity type
- Organization (NPI-2)
- Legal business name
- Maternal Insync LLC
- Organization subpart
- No
- Enumeration date
- Feb 23, 2016
- Last updated
- Feb 23, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | CSW005601 | GA | Yes |
| 251S00000X | Community/Behavioral Health | CSW005601 | GA |
Other names
- Maternal Insync (Other Name)
Practice location
5149 Madison Green Dr SwMableton, GA 30126-2151
Phone 678-310-3012
Mailing address
5149 Madison Green Dr SwMableton, GA 30126-2151
Phone 678-310-3012
Authorized official
Tiffany Conyers
Owner, Clinical Director
8034144891
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