Heather Stottlemyre Tye Wall, MDiv, MACMH, LPC
Counselor, Professional in Flintstone, GA. Individual provider (NPI-1).
NPI number1316634561
StatusActive
Last updated in NPPESSep 23, 2026
Details
- NPI
- 1316634561
- Entity type
- Individual (NPI-1)
- Name
- Heather Stottlemyre Tye Wall
- Credential
- MDiv, MACMH, LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 19, 2023
- Certification date
- Sep 23, 2026
- Last updated
- Sep 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Other names
- Heather Wall (Former Name)
Practice location
429 Tinker Bell CirFlintstone, GA 30725-2178
Phone 717-874-9660
Mailing address
429 Tinker Bell CirFlintstone, GA 30725-2178
Phone 717-874-9660
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