# INNER SANCTUARY COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528723152
- **Authorized official:** RENEE RUGILE LMFT/ RPT (CEO/OWNER)
- **Authorized official phone:** (808) 909-2115

## Contact information

- **Practice address:** 11180 HWY 51 S, STE 7 PMB 1032, ATOKA, TN 38004
- **Practice address phone:** (808) 909-2111
- **Practice address fax:** (747) 666-0942
- **Mailing address:** 11180 HWY 51 S, STE 7 PMB 1032, ATOKA, TN 38004
- **Mailing address phone:** (808) 909-2111
- **Mailing address fax:** (747) 666-0942

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 11/08/2021
- **Last updated:** 01/18/2024