Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HEATHER STOTTLEMYRE TYE WALL MDIV, MACMH, LPC
NPI 1316634561
Counselor - Professional in Flintstone, GA

Active since April 19, 2023
429 TINKER BELL CIR, FLINTSTONE, GA 30725(717) 874-9660 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Heather Stottlemyre Tye Wall Mdiv, Macmh, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATHER STOTTLEMYRE TYE WALL MDIV, MACMH, LPC (NPI 1316634561) is an individual professional provider in Flintstone, Georgia and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1316634561
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameHEATHER STOTTLEMYRE TYE WALLCredential: MDIV, MACMH, LPC
Location Address429 TINKER BELL CIRFlintstone, GA 30725-2178
Mailing Address429 Tinker Bell CirFlintstone, GA 30725-2178 · (717) 874-9660
Sole ProprietorNo
Enumeration DateApril 19, 2023
Last NPPES UpdateSeptember 23, 2026
NPPES CertifiedSeptember 23, 2026
✔ NPI 1316634561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
429 TINKER BELL CIR, Flintstone, GA 30725

Other Names 1

Former Name (1)Heather Wall Mdiv, Macmh

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
429 TINKER BELL CIR
FLINTSTONE, GA 30725

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heather Wall's NPI number?

The NPI number for Heather Wall is 1316634561. It was assigned to this individual provider in the NPPES registry on April 19, 2023. The provider is also known as Heather Wall Mdiv, Macmh.

Where is Heather Wall located?

Heather Wall practices at 429 Tinker Bell Cir, Flintstone, GA 30725. The listed phone number is (717) 874-9660.

What is Heather Wall's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Heather Wall was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.