Heather Stottlemyre Tye Wall, MDIV, MACMH, LPC
NPI #1316634561 in Flintstone, Georgia
Provider Information
- NPI Number
- 1316634561
- Entity Type
- Individual
- Name
- Heather Stottlemyre Tye Wall, MDIV, MACMH, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- MDIV, MACMH, LPC
- Enumeration Date
- Apr 19, 2023
- Last Updated
- Jan 30, 2025
Practice Location
- Address
- 429 TINKER BELL CIR
- City
- Flintstone
- State
- Georgia
- ZIP Code
- 30725-2178
- Phone
- (717) 874-9660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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