Healthcare Provider Details
I. General information
NPI: 1386563468
Provider Name (Legal Business Name): REDEEMED RECOVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/13/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8735 DUNWOODY PL STE N
SANDY SPRINGS GA
30350-2995
US
IV. Provider business mailing address
8735 DUNWOODY PL STE N
SANDY SPRINGS GA
30350-2995
US
V. Phone/Fax
- Phone: 404-507-2788
- Fax: 678-929-5448
- Phone: 404-507-2788
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SHANNON
TROMBLEY
Title or Position: COUNSELOR - PROFESSIONAL
Credential:
Phone: 404-507-2788