Healthcare Provider Details

I. General information

NPI: 1134073513
Provider Name (Legal Business Name): SERIOUSLY INTELLIGENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1940 POINTE DR
PANAMA CITY BEACH FL
32407-0285
US

IV. Provider business mailing address

1940 POINTE DR
PANAMA CITY BEACH FL
32407-0285
US

V. Phone/Fax

Practice location:
  • Phone: 404-751-6245
  • Fax:
Mailing address:
  • Phone: 404-751-6245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: AMANDA HALLMAN
Title or Position: OWNER
Credential:
Phone: 404-751-6245