Individual
HEATHER STOTTLEMYRE TYE WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MDIV, MACMH, LPC
Contact information
Practice address
429 TINKER BELL CIR, FLINTSTONE, GA 30725-2178
(717) 874-9660
Mailing address
429 TINKER BELL CIR, FLINTSTONE, GA 30725-2178
(717) 874-9660
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
01/30/2025
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