Healthcare Provider Details

I. General information

NPI: 1922839646
Provider Name (Legal Business Name): MOTIV INTEGRATIVE PSYCHIATRY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2024
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6000 LAKE FORREST DR STE 475
SANDY SPRINGS GA
30328-3898
US

IV. Provider business mailing address

6000 LAKE FORREST DR STE 475
SANDY SPRINGS GA
30328-3898
US

V. Phone/Fax

Practice location:
  • Phone: 770-809-6483
  • Fax: 770-502-6821
Mailing address:
  • Phone: 606-305-4440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: HOLLY HART
Title or Position: OWNER
Credential:
Phone: 770-809-6483