Organization · Type 2 NPI
Loyal Hearts of Service LLC
Psychiatric/Mental Health Nurse Practitioner · Fayetteville, GA
NPI number
1962385278
Active
Practice location
110 Habersham Dr Ste 149&151
Fayetteville, GA 30214-1381
Mailing address
75 Washington St Unit 1717
Fairburn, GA 30213-3617
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Agency | 251E00000X | None listed |
| In Home Supportive Care Agency | 253Z00000X | None listed |
| Preferred Provider Organization | 305R00000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1962385278
Loyal Hearts of Service LLC's National Provider Identifier is 1962385278, issued on Jul 26, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fayetteville, GA. The record was last updated on Mar 26, 2026.