Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Intown Pediatric Behavioral Wellness LLC

Organization Clinical Child & Adolescent Psychologist · NPI 1265895569

Intown Pediatric Behavioral Wellness LLC is a Clinical Child & Adolescent Psychologist in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2016.

Licensed in
GA
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

340 Blvd NE Ste 345
Atlanta, GA 30312-1273
Phone: (404) 653-0322
Fax: (404) 653-0466
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence PSY003708 (GA)

Record details

NPI number1265895569
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Poulos — Owner/Pediatric Psychologist · (770) 656-1365
NPI enumeratedApril 4, 2016
Last updated in NPPESApril 4, 2016
Mailing address1170 N Highland Ave Ne, B10, Atlanta, GA 30306-3400

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