Healthcare Provider Details

I. General information

NPI: 1104711969
Provider Name (Legal Business Name): ENW HOLDINGS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2025
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 W HILL ST STE 5A
DECATUR GA
30030-4362
US

IV. Provider business mailing address

321 W HILL ST STE 5A
DECATUR GA
30030-4362
US

V. Phone/Fax

Practice location:
  • Phone: 205-305-8486
  • Fax:
Mailing address:
  • Phone: 205-305-8486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: ERIKA HEARD
Title or Position: OWNER
Credential: MD
Phone: 469-630-7964