NPI 1033683495
Heart Tree LLC
Practice location
- Address
- 315 W Ponce de Leon Ave STE 480, Decatur, GA 30030-2489
- Phone
- (404) 375-4448
- Mailing address
- 300 Colonial Center Pkwy STE 100n, Roswell, GA 30076-4892
Authorised official
- Name
- Jannah S Goodell
- Title
- Owner
- Phone
- (404) 375-4448
Registered specialties
Clinical Social Worker
Primary
Registry record
- NPI
- 1033683495
- Entity type
- Organization
- NPI issued
- 17 Jan 2019
- Record last updated
- 17 Jan 2019
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.