Teila Tyler, OWNER

NPI 1275118200 · on the registry since 2021 · sole proprietor

Practice

Address: 2274 Salem Rd Se Ste 106-1336
Conyers, GA 30013
Phone: (770) 407-9923
Organisation at this address: The Luxe Hair Bar
Thrive With Care, Llc
Luxury Healing House Llc
Healing Hearts Group, Llc
Kornerstone Entities Of Ga
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 291U00000X
291U00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-03-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia