Organization
MATERNAL INSYNC LLC
Active
Organization
MATERNAL INSYNC LLC
Active
Other names
Maternal inSync
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY CONYERS LCSW (OWNER, CLINICAL DIRECTOR)
(803) 414-4891
Entity
Organization
Contact information
Practice address
5149 MADISON GREEN DR SW, MABLETON, GA 30126-2151
(678) 310-3012
Mailing address
5149 MADISON GREEN DR SW, MABLETON, GA 30126-2151
(678) 310-3012
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
CSW005601
GA
261QM0850X
Adult Mental Health Clinic/Center
Primary
CSW005601
GA
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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