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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