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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: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 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
Phone(717) 874-9660
Sole ProprietorNo
Enumeration DateApril 19, 2023
Last NPPES UpdateJanuary 30, 2025
NPPES CertifiedJanuary 30, 2025
✔ 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
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Other Names 1

Former Name (1)Heather Johns Mdiv, Macmh

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 Johns 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 January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.