| Erika Heinzle, Ms, Lpc, Llc | |
|
1 Huntington Rd Suite 105 Athens GA 30606-7204 | |
| (706) 395-5266 | |
| (855) 700-4579 |
| Full Name | Erika Heinzle, Ms, Lpc, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1 Huntington Rd, Athens, Georgia |
| Authorized Official Name and Position | Erika Nichole Heinzle (OWNER) |
| Authorized Official Contact | 7063955266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Erika Heinzle, Ms, Lpc, Llc 503 Edgewood Dr Athens GA 30606-6534 Ph: () - | Erika Heinzle, Ms, Lpc, Llc 1 Huntington Rd Suite 105 Athens GA 30606-7204 Ph: (706) 395-5266 |
| NPI Number | 1407264997 |
|---|---|
| Provider Enumeration Date | 07/28/2014 |
| Last Update Date | 07/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407264997 | NPI | - | NPPES |
| 1992051783 | Other | NPI 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC007119 (Georgia) | Primary |
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