Maternal Insync LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

CSW005601 Issued in GA

Legal business name

MATERNAL INSYNC LLC

Practice address

5149 Madison Green Dr SW
Mableton, GA 30126-2151

Phone

(678) 310-3012

NPI assigned

Feb 23, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Tiffany Conyers, LCSW

Title

Owner, Clinical Director

Phone

(803) 414-4891

Specialties & licenses 2

Addresses

Other names 1

• Maternal inSync Other name

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1356700041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5149 MADISON GREEN DR SW",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301262151",
            "telephone_number": "678-310-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5149 MADISON GREEN DR SW",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301262151",
            "telephone_number": "678-310-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATERNAL INSYNC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "CONYERS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "803-414-4891",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "CSW005601",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "GA",
            "license": "CSW005601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maternal inSync",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Adult Mental Health Clinic/Center in Mableton, GA
• Providers in Mableton, GA by specialty
• Adult Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.