Organization · Type 2 NPI

Louise Wise LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Tucker, GA

NPI number 1699239475 Active

Practice location

2206 Hanfred Ln Ste 103
Tucker, GA 30084-4809

Call (678) 831-6429 Map

Fax (687) 668-2848

Mailing address

PO Box 309
Clarkston, GA 30021-0309

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

Another provider at this address

Louise Wise, DNP, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Tucker, GA NPI 1851782965

Other mental health clinic/center (including community mental health center) providers in Tucker

See all in Tucker →

NPI record

NPI: 1699239475
Entity type: Organization (Type 2)
Issued: Jan 26, 2019
Last updated: Apr 9, 2023
Status: Active

Other names

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Georgia Behavioral Health Practitioner Clinic · doing business as
Georgia Behavioral Health Practitioner Clinic · doing business as

Authorized official

Louise Wise
Provider
(678) 831-6429

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About NPI 1699239475

Louise Wise LLC's National Provider Identifier is 1699239475, issued on Jan 26, 2019. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Tucker, GA. The record was last updated on Apr 9, 2023.