Individual provider · Type 1 NPI

Heather Stottlemyre Tye Wall, MDIV, MACMH, LPC

Professional Counselor · Flintstone, GA

NPI number 1316634561 Active

Practice location

429 Tinker Bell Cir
Flintstone, GA 30725-2178

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

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About NPI 1316634561

Heather Stottlemyre Tye Wall, MDIV, MACMH, LPC's National Provider Identifier is 1316634561, issued on Apr 19, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Flintstone, GA. The record was last updated on Sep 23, 2026.