Healthcare Provider Details

I. General information

NPI: 1346179900
Provider Name (Legal Business Name): HEALINGROOTS PSYCHIATRY, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 POSTMASTER DR UNIT 594
MCDONOUGH GA
30253-2808
US

IV. Provider business mailing address

100 POSTMASTER DR UNIT 594
MCDONOUGH GA
30253-2808
US

V. Phone/Fax

Practice location:
  • Phone: 404-951-1113
  • Fax:
Mailing address:
  • Phone: 404-951-1113
  • 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: MRS. TALBRESHIA SMILEY
Title or Position: CEO/FOUNDER
Credential: PMHNP-BC
Phone: 404-951-1113