Organization Active NPI

Big Heart LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Conyers, GA
National Provider Identifier
1942730866
Registry record updated Apr 17, 2019
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
BIG HEART LLC
Practice address
1506 Klondike Rd SW Ste 403
Conyers, GA 30094-5173
Phone
(404) 333-7725
NPI assigned
Jun 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Authorized official

Name
Turquoise Allen
Title
Ceo
Phone
(770) 285-6699

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X GA Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

1506 Klondike Rd SW Ste 403
Conyers, GA 30094-5173

Mailing address

1506 Klondike Rd SW Ste 403
Conyers, GA 30094-5173
Phone (770) 285-6699

National Provider Directory

National Provider Directory

Locations

1506 Klondike Rd SW
Ste 403
Conyers, GA 30094
Phone (404) 333-7725

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1942730866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 KLONDIKE RD SW STE 403",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945173",
            "telephone_number": "770-285-6699",
            "fax_number": "770-285-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 KLONDIKE RD SW STE 403",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945173",
            "telephone_number": "404-333-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG HEART LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "TURQUOISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-285-6699"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.