| Pure Heart Behavioral Therapy, Llc | |
|
359 Shady Dale Rd Eatonton GA 31024 | |
| (478) 569-6235 | |
| (478) 238-8920 |
| Full Name | Pure Heart Behavioral Therapy, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 359 Shady Dale Rd, Eatonton, Georgia |
| Authorized Official Name and Position | Samantha Weldon (OWNER) |
| Authorized Official Contact | 4785696235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Heart Behavioral Therapy, Llc Po Box 702 Milledgeville GA 31059 Ph: (478) 569-6235 | Pure Heart Behavioral Therapy, Llc 359 Shady Dale Rd Eatonton GA 31024 Ph: (478) 569-6235 |
| NPI Number | 1396370862 |
|---|---|
| Provider Enumeration Date | 03/05/2020 |
| Last Update Date | 05/09/2023 |
| Certification Date | 05/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396370862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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