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Contact Information

PURE HEART BEHAVIORAL THERAPY, LLC
359 SHADY DALE RD
EATONTON, GA31024
 Phone: 478-569-6235
 Fax: 478-238-8920
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for PURE HEART BEHAVIORAL THERAPY, LLC

NPI # 1396370862
LBN Legal business name PURE HEART BEHAVIORAL THERAPY, LLC
Authorized official SAMANTHA WELDON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/05/2020
Last updated 05/09/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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