| Helping Hearts Behavioral Health Services, Llc | |
|
6607 Powers St Riverdale GA 30274-2334 | |
| (678) 834-5711 | |
| (678) 834-5688 |
| Full Name | Helping Hearts Behavioral Health Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6607 Powers St, Riverdale, Georgia |
| Authorized Official Name and Position | Charmaine Forts (OWNER) |
| Authorized Official Contact | 6788345711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Helping Hearts Behavioral Health Services, Llc 6607 Powers St Riverdale GA 30274-2334 Ph: (678) 834-5711 | Helping Hearts Behavioral Health Services, Llc 6607 Powers St Riverdale GA 30274-2334 Ph: (678) 834-5711 |
| NPI Number | 1578170882 |
|---|---|
| Provider Enumeration Date | 09/30/2020 |
| Last Update Date | 06/17/2023 |
| Certification Date | 11/30/2022 |
| Medicare PECOS PAC ID | 1052724440 |
|---|---|
| Medicare Enrollment ID | O20210104000019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578170882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | George D Angelich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487817144 PECOS PAC ID: 2668614868 Enrollment ID: I20130819000591 |
| Provider Name | Monique Mcgee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104284389 PECOS PAC ID: 2860797792 Enrollment ID: I20160301001904 |
| Provider Name | Victoria Lynn Fountain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437504966 PECOS PAC ID: 1951600212 Enrollment ID: I20160509001442 |
| Provider Name | Linda Moorer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972059046 PECOS PAC ID: 6002227774 Enrollment ID: I20201201002961 |
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