Organization
PURE HEART BEHAVIORAL THERAPY, LLC
Active
Organization
PURE HEART BEHAVIORAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA WELDON MAT, BCBA (OWNER)
(478) 569-6235
Entity
Organization
Contact information
Practice address
359 SHADY DALE RD, EATONTON, GA 31024
(478) 569-6235
(478) 238-8920
Mailing address
PO BOX 702, MILLEDGEVILLE, GA 31059
(478) 569-6235
(478) 238-8920
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/05/2020
Last updated
05/09/2023
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