SISTAH SPACE WOMEN'S WELLNESS CENTER, LLC
NPI 1184283848
Clinic/Center - Health Service in Tyrone, GA

Active since June 06, 2019
130 HOWELL RD, TYRONE, GA 30290(312) 451-7546(470) 250-2401 Get Directions Write a Review

NPPES record last updated: February 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 26, 2020, Jun 6, 2019 (2 updates tracked since 2019).

About Sistah Space Women's Wellness Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SISTAH SPACE WOMEN'S WELLNESS CENTER, LLC (NPI 1184283848) is a healthcare organization registered as a health service in Tyrone, Georgia and active in the NPI registry since June 2019. The organization lists Jeneen A Lomax, Owner, as its authorized official.

NPPES Registry Identity

NPI1184283848
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameSISTAH SPACE WOMEN'S WELLNESS CENTER, LLC
Location Address130 HOWELL RDTyrone, GA 30290-6800
Mailing Address351 Lauren DrFairburn, GA 30213-7007 · (312) 451-7546 · Fax (470) 250-2401
Fax(470) 250-2401
Organization SubpartNo
Authorized OfficialJeneen A LomaxOwner · (312) 451-7546
Enumeration DateJune 6, 2019
Last NPPES UpdateFebruary 26, 20202 updates tracked since enumeration
NPI 1184283848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
130 HOWELL RD, Tyrone, GA 30290

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
130 HOWELL RD, SUITE E
TYRONE, GA 30290

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sistah Space Women's Wellness Center, LLC's NPI number?

The NPI number for Sistah Space Women's Wellness Center, LLC is 1184283848. It was assigned to this organization in the NPPES registry on June 6, 2019.

Where is Sistah Space Women's Wellness Center, LLC located?

Sistah Space Women's Wellness Center, LLC is located at 130 Howell Rd, Tyrone, GA 30290. The listed phone number is (312) 451-7546.

What is Sistah Space Women's Wellness Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Sistah Space Women's Wellness Center, LLC was last updated on February 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.