Organization
RENEW FAMILY ASSESSMENT GROUP, LLC
Active
Organization
RENEW FAMILY ASSESSMENT GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA SHADARYN MIXON DRPH (MANAGING MEMBER)
(678) 249-8545
Entity
Organization
Contact information
Practice address
1180 MCKENDREE CHURCH RD STE 107, LAWRENCEVILLE, GA 30043-5207
(678) 249-8545
Mailing address
2041 BROOK ENCLAVE TRL, LILBURN, GA 30047-8312
(678) 249-8545
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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