Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Reinvent Your Identity, LLC

Organization Clinic/Center · NPI 1235871013

Reinvent Your Identity, LLC is a Clinic/Center in McDonough, Georgia. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4403 Kady Ct
McDonough, GA 30252-3700
Phone: (404) 644-4198
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Corporate Health Clinic/Center Taxonomy 261QC1800X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Student Health Clinic/Center Taxonomy 261QS1000X

Record details

NPI number1235871013
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Abidemi Marsh — Owner · (404) 644-4198
NPI enumeratedApril 11, 2022
Last updated in NPPESApril 11, 2022
Certification dateApril 11, 2022
Mailing address4403 Kady Ct, McDonough, GA 30252-3700

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