Organization Active NPI

Intake Psychotherapy & Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Newnan, GA
National Provider Identifier
1477419257
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
INTAKE PSYCHOTHERAPY & WELLNESS, LLC
Practice address
1111 Highway 34 E Ste 7
Newnan, GA 30265-2182
Phone
(888) 988-3008
Fax
(470) 713-7668
NPI assigned
Dec 24, 2025
Last updated
Dec 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bertha Freeman Barrett, LMHC, LPCNPI 1205482791
Title
Owner/Managing Member
Phone
(888) 988-3008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

1111 Highway 34 E Ste 7
Newnan, GA 30265-2182

Mailing address

1415 Highway 85 N Ste 310-394
Fayetteville, GA 30214-7738
Phone (888) 988-3008

National Provider Directory

National Provider Directory

Locations

1415 Highway 85 N
Ste 310394
Fayetteville, GA 30214

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1766534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766534400000",
    "number": "1477419257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 HIGHWAY 85 N STE 310-394",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147738",
            "telephone_number": "888-988-3008",
            "fax_number": "470-713-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 HIGHWAY 34 E STE 7",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652182",
            "telephone_number": "888-988-3008",
            "fax_number": "470-713-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTAKE PSYCHOTHERAPY & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-24",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "BERTHA",
        "authorized_official_middle_name": "FREEMAN",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "888-988-3008",
        "authorized_official_credential": "LMHC, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.