INTENTIONAL HEARTS, INC. (NPI# 1003056698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003056698 |
| Entity Type | Organization |
| Organization Name | INTENTIONAL HEARTS, INC. |
| Practice Address |
4200 Northside Pkwy Nw Bldg 1, Ste 200 Atlanta GA 30327-3054 |
| Practice Telephone | 7706233331 |
| Mailing Telephone | 7706233331 |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2009-02-23 |
| Authorized Official Name | MR. MICHAEL TODD WILSON (PRESIDENT) |
| Authorized Official Telephone | 7706233331 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
LPC004107 | GA | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Intentional Hearts, Inc. | 3578 Hartsel Drive, Ste. E, Unit 422, Colorado Springs, CO 80920 |
| Street Address |
4200 NORTHSIDE PKWY NW BLDG 1, STE 200 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30327-3054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740262328 | Evalin Rhodes Hanshew | Psychologist | 4200 Northside Pkwy Nw, Building Four, Suite 100, Atlanta, GA 30327-3054 | 2005-11-18 |
| 1811454317 | Savannah Kemp | Nurse Practitioner | 4200 Northside Pkwy Nw, Atlanta, GA 30327-3007 | 2019-02-21 |
| 1629429170 | Melissa Freas | Counselor | 4200 Northside Pkwy Nw, Building 4, Suite 100, Atlanta, GA 30327-3007 | 2016-06-27 |
| 1215393814 | Adam Young | Social Worker | 4200 Northside Pkwy Nw, Building One, Suite 200, Atlanta, GA 30327-3007 | 2016-01-12 |
| 1013320019 | Katharine Mcnally Ferguson | Counselor | 4200 Northside Pkwy Nw, Building 6, Atlanta, GA 30327-3007 | 2014-06-06 |
| 1437417722 | Providence Foot & Ankle Centers, PC Inc | Podiatrist | 4200 Northside Pkwy Nw, Building 8, Atlanta, GA 30327-3054 | 2012-04-25 |
| 1881735231 | Richmont Graduate University | Counselor | 4200 Northside Pkwy Nw, Building Four, Suite 100, Atlanta, GA 30327-3054 | 2007-02-09 |
| 1306924014 | Jacqueline N Hill | Psychologist | 4200 Northside Pkwy Nw, Bldg. 6, Atlanta, GA 30327-3054 | 2006-11-01 |
| 1265526925 | John H Hartley Jr. | Surgery | 4200 Northside Pkwy Nw, Building 8, Atlanta, GA 30327-3054 | 2006-10-03 |
| 1265411524 | Lyndsay Nicole Langston | Dentist | 4200 Northside Pkwy Nw, Building 5, Atlanta, GA 30327-3007 | 2006-01-13 |
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|---|---|---|---|---|
| 1497388730 | Brand New Start Treatment Center- Paulding LLC | Clinic/Center | 311 Wi Pkwy, Suite 500, Dallas, GA 30327 | 2020-02-14 |
| 1477039741 | Atlanta Knee and Shoulder Clinic PC | Orthopaedic Surgery | 3200 Downwood Cir Nw Ste 410, Atlanta, GA 30327 | 2018-07-19 |
| 1336636174 | One Group LLC | In Home Supportive Care | 3150 Howell Mill Road, Atlanta, GA 30327 | 2018-04-17 |
| 1609313949 | Michelle Perry | Specialist/Technologist | 4075 Paces Ferry Road Nw, Atlanta, GA 30327 | 2017-01-25 |
| 1447706981 | Cailey Ann Binkley | Counselor | 4200 Northside Parkway, Building 7, Atlanta, GA 30327 | 2016-08-25 |
| 1902256555 | Carlos Alberto Prays | Family Medicine | 3200 Downwood Cir Nw Ste 200, Atlanta, GA 30327 | 2016-06-14 |
| 1851793210 | Laura Goydich Rhein | Anesthesiologist Assistant | 3193 Howell Mill Rd Nw Ste 100, Atlanta, GA 30327 | 2014-09-17 |
| 1699115451 | Jeffrey Alan Bernstein | Obstetrics & Gynecology | 655 Widgeon Lane, Atlanta, GA 30327 | 2013-06-26 |
| 1053755207 | Thomas Windrow Marks | Orthopaedic Surgery | 1011 West Paces Ferry Rd.n.w., Atlanta, GA 30327 | 2013-04-18 |
| 1245572643 | Valerie Lananh Truong | Dermatology | 3193 Howell Mill Rd Nw Ste 220, Atlanta, GA 30327 | 2013-03-23 |
| Find all providers in zip 30327 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
| 1124632013 | Dunwoody Mental Health Center | Clinic/Center | 4594 Barclay Dr, Atlanta, GA 30338-5883 | 2020-09-08 |
| 1972120970 | Imagine New Beginnings | Clinic/Center | 3125 Colonial Way Apt J, Atlanta, GA 30341-5339 | 2020-06-25 |
| 1659994705 | Paul Smith Counseling and Consulting, LLC | Clinic/Center | 5180 Roswell Rd Ste 106, Atlanta, GA 30342-2293 | 2020-05-24 |
| 1568091429 | Keystone Behavioral Health Center | Clinic/Center | 3071 Campbellton Rd Sw Ste 2, Atlanta, GA 30311-5441 | 2020-04-03 |
| 1205471695 | Mindbrain Institute of Atlanta | Clinic/Center | 2200 Century Pkwy Ne Ste 200, Atlanta, GA 30345-3103 | 2019-11-09 |
| 1528613437 | Kenetta Muhammad | Clinic/Center | 801 Joseph E Boone Blvd Nw, Atlanta, GA 30314-3344 | 2019-08-07 |
| 1356906929 | Lenox Pointe Psychotherapy, LLC | Clinic/Center | 6 Lenox Pointe Ne, Atlanta, GA 30324-3167 | 2019-05-08 |
| 1205352093 | Elite Rose Healthcare Services P.C. | Clinic/Center | 2783 Santa Barbara Dr Nw, Atlanta, GA 30318-7326 | 2017-08-14 |
| 1417478439 | Reexist Counseling LLC | Clinic/Center | 1955 Vance Drive Ne, Atlanta, GA 30345 | 2017-06-29 |
| 1215358015 | Living Fully Psychotherapy and Consulting, LLC | Clinic/Center | 1463 Oxford Rd Ne, Atlanta, GA 30322-1046 | 2013-12-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.