Healthcare Provider Details

I. General information

NPI: 1205749645
Provider Name (Legal Business Name): SEREMEDY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8735 DUNWOODY PLACE SUITE R
ATLANTA GA
30350
US

IV. Provider business mailing address

1700 NORTHSIDE DR NW STE A7
ATLANTA GA
30318-2695
US

V. Phone/Fax

Practice location:
  • Phone: 470-305-3834
  • Fax:
Mailing address:
  • Phone: 470-305-3834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SERENITY QUANT
Title or Position: OWNER
Credential: LPC, NCC
Phone: 470-338-1901