NPI 1003056698

Intentional Hearts, INC.

Organisation Mental Health Clinic/Center (Including Community Mental Health Center) Atlanta, GA

Practice location

Address: 4200 Northside Pkwy NW Bldg 1, STE 200, Atlanta, GA 30327-3054
Phone: (770) 623-3331

Authorised official

Name: Michael Todd Wilson
Title: President
Phone: (770) 623-3331

Registered specialties

Mental Health Clinic/Center (Including Community Mental Health Center) Primary

Ambulatory Health Care Facilities Taxonomy 261QM0801X Licence LPC004107 (GA)

Other Clinic/Center providers in Georgia →

Registry record

NPI: 1003056698
Entity type: Organization
NPI issued: 23 Feb 2009
Record last updated: 23 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.