NPIMap

Organization Active NPI

Renew Tranquility, LLC

  • Adult Mental Health Clinic/Center
  • Conyers, GA
National Provider Identifier
1174176242
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
RENEW TRANQUILITY, LLC
Practice address
1775 Parker Rd SE Ste 210
Conyers, GA 30094-6654
Phone
(470) 430-4948
NPI assigned
Jul 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sabrina Karma Hudnall, LPC, SAPNPI 1598238628
Title
Owner
Phone
(470) 430-4948

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1775 Parker Rd SE Ste 210
Conyers, GA 30094-6654

Mailing address

101 Geyser PL
Stockbridge, GA 30281-0969
Phone (678) 468-0001

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1174176242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 GEYSER PL",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302810969",
            "telephone_number": "678-468-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 PARKER RD SE STE 210",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946654",
            "telephone_number": "470-430-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW TRANQUILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "HUDNALL",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_middle_name": "KARMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-430-4948",
        "authorized_official_credential": "LPC, SAP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.