# WONDERLAND BEHAVIORAL & MENTAL HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295531457
- **Authorized official:** DR. JOAN BOURNE DNP, PMHNP-BC, LMSW (CEO/PROVIDER)
- **Authorized official phone:** (770) 284-6472

## Contact information

- **Practice address:** 1815 LOCKEWAY DR STE 105, ALPHARETTA, GA 30004-5929
- **Practice address phone:** (770) 284-6472
- **Practice address fax:** (877) 862-0076
- **Mailing address:** 1815 LOCKEWAY DR STE 105, ALPHARETTA, GA 30004-5929
- **Mailing address phone:** (770) 284-6472
- **Mailing address fax:** (877) 862-0076

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/19/2025
- **Last updated:** 05/06/2026
