Organization
ERIKA HEINZLE, MS, LPC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKA NICHOLE HEINZLE MS, LPC (OWNER)
(706) 395-5266
Entity
Organization
Contact information
Practice address
1 HUNTINGTON RD, SUITE 105, ATHENS, GA 30606-7204
(706) 395-5266
(855) 700-4579
Mailing address
503 EDGEWOOD DR, ATHENS, GA 30606-6534
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007119
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992051783
NPI 1
—
Enumeration date
07/28/2014
Last updated
07/28/2014
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