TIA HEALTH AND WELLNESS CENTER LLC
NPI 1245029859
Clinic/Center in Kennesaw, GA

Q: What is Tia Health And Wellness Center LLC's NPI number?

The NPI number for Tia Health And Wellness Center LLC is 1245029859. It was assigned to this organization in the NPPES registry on May 1, 2025. The provider is doing business as Tia Hydrate.

Q: What is Tia Health And Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since May 01, 2025

3772 CHEROKEE ST NW, KENNESAW, GA 30144(770) 562-7948 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tia Health And Wellness Center Llc NPPES

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

TIA HEALTH AND WELLNESS CENTER LLC (NPI 1245029859), doing business as Tia Hydrate, is a healthcare organization registered as a clinic/center in Kennesaw, Georgia and active in the NPI registry since May 2025. The organization lists Althea A Bryan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245029859

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameTIA HEALTH AND WELLNESS CENTER LLC

Location Address3772 CHEROKEE ST NWKennesaw, GA 30144-2080

Mailing Address198 Rotherhithe Ln NwMarietta, GA 30066-3491 · (770) 562-7948 · Fax (770) 691-4046

Phone(770) 562-7948

Organization SubpartNo

Authorized OfficialAlthea A BryanCeo · (770) 562-7948

Enumeration DateMay 1, 2025

NPPES CertifiedMay 1, 2025

✔ NPI 1245029859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

3772 CHEROKEE ST NW, Kennesaw, GA 30144

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Other Names 1

Doing Business AsTia Hydrate

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2266101

Tia Health And Wellness Center LLC Dba Tiahydrate · Kennesaw, GA

Expired · Aug 4, 2026

CLIA Number11D2266101

Laboratory TypeIndependent

Certificate Effective DateAugust 5, 2024

Certificate Expiration DateAugust 4, 2026

Laboratory DirectorAlthea Bryan

Laboratory Phone(404) 579-1956

Laboratory LocationTia Health And Wellness Center LLC Dba Tiahydrate3772 Cherokee Street, Kennesaw, GA 30144

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

NU-LIFE NURSING & PROVIDER SERVICES, LLC

Nurse Practitioner (Family)