Organization
UNITED HEARTS BEHAVIORAL HEALTH LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ULLYSSIA RENEE' RICHARDSON (PRESIDENT)
(910) 670-1346
Entity
Organization
Contact information
Practice address
5832 HARRIER LN, ATLANTA, GA 30349-8871
(910) 670-1346
Mailing address
1725 KIM WATT DR APT 13, KNOXVILLE, TN 37909-1446
(910) 670-1346
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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