Organization
BIG HEART LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TURQUOISE ALLEN (CEO)
(770) 285-6699
Entity
Organization
Contact information
Practice address
1506 KLONDIKE RD SW STE 403, CONYERS, GA 30094-5173
(404) 333-7725
Mailing address
1506 KLONDIKE RD SW STE 403, CONYERS, GA 30094-5173
(770) 285-6699
(770) 285-6510
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
GA
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/13/2017
Last updated
04/17/2019
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