GEORGIA BEHAVIORAL HEALTH PRACTITIONER CLINIC
NPI 1699239475
Clinic/Center - Mental Health (Including Community Mental Health Center) in Tucker, GA

Q: What is Louise Wise LLC's NPI number?

The NPI number for Louise Wise LLC is 1699239475. It was assigned to this organization in the NPPES registry on January 26, 2019. The provider is doing business as Georgia Behavioral Health Practitioner Clinic.

Q: What is Louise Wise LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Q: When was this NPI record last updated?

The NPPES record for Louise Wise LLC was last updated on April 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 26, 2019CLIA 11D2161626 · Waiver

2206 HANFRED LN STE 103, TUCKER, GA 30084(678) 831-6429(687) 668-2848 Get Directions Write a Review

NPPES record last updated: April 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2023, Sep 6, 2019, Feb 3, 2019 and 1 more (4 updates tracked since 2019).

On this page

About Georgia Behavioral Health Practitioner Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGIA BEHAVIORAL HEALTH PRACTITIONER CLINIC (NPI 1699239475) is a healthcare organization registered as a mental health (including community mental health center) in Tucker, Georgia and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through February 6, 2027 and lists Louise Wise, Provider, as its authorized official.

NPPES Registry Identity

NPI1699239475

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameLOUISE WISE LLC

Location Address2206 HANFRED LN STE 103Tucker, GA 30084-4809

Mailing AddressPo Box 309Clarkston, GA 30021-0309 · (678) 368-5561

Phone(678) 831-6429

Fax(687) 668-2848

Organization SubpartNo

Authorized OfficialLouise WiseProvider · (678) 831-6429

Enumeration DateJanuary 26, 2019

Last NPPES UpdateApril 9, 20234 updates tracked since enumeration

NPPES CertifiedApril 9, 2023

✔ NPI 1699239475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

2206 HANFRED LN STE 103, Tucker, GA 30084

Open in Google Maps ↗

Other Names 1

Doing Business AsGeorgia Behavioral Health Practitioner Clinic

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2161626

Georgia Behavioral Health Practitioner Clinic · Tucker, GA

Active · expires Feb 6, 2027

CLIA Number11D2161626

Laboratory TypePractitioner Other

Certificate Effective DateFebruary 7, 2025

Certificate Expiration DateFebruary 6, 2027

Laboratory DirectorLouise Wise

Laboratory Phone(678) 831-6429

Laboratory LocationGeorgia Behavioral Health Practitioner Clinic2206 Hanfred Lane, Suite 103, Tucker, GA 30084

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LOUISE WISE DNP, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

2206 HANFRED LN STE 103
TUCKER, GA 30084

Dekalb County (678) 831-6429

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Louise Wise LLC's NPI number?

The NPI number for Louise Wise LLC is 1699239475. It was assigned to this organization in the NPPES registry on January 26, 2019. The provider is doing business as Georgia Behavioral Health Practitioner Clinic.

Where is Louise Wise LLC located?

Louise Wise LLC is located at 2206 Hanfred Ln Ste 103, Tucker, GA 30084. The listed phone number is (678) 831-6429.

What is Louise Wise LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Louise Wise LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2161626) is associated with this NPI, valid through February 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Louise Wise LLC was last updated on April 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.