Provider Demographics
NPI:1750116752
Name:REGENERATING ME ESSENTIALS LLC
Entity type:Organization
Organization Name:REGENERATING ME ESSENTIALS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEALTH, WELLNESS COACH
Authorized Official - Prefix:MS
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:DIONNE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:SILVER SNEAKER INSTR
Authorized Official - Phone:267-777-0837
Mailing Address - Street 1:2911 HAPPY HOLLOW DR SE
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30094-3220
Mailing Address - Country:US
Mailing Address - Phone:267-777-0837
Mailing Address - Fax:
Practice Address - Street 1:1303 PARKER RD SE STE A
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30094-5984
Practice Address - Country:US
Practice Address - Phone:470-778-6869
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-09
Last Update Date:2024-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty