Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316634561 Individual Practitioner Female Practitioner

Heather Stottlemyre Tye Wall , MDIV, MACMH, LPC

Counselor - Professional • Flintstone, GA

Professional Overview & Biography Verified Profile Summary

Heather Wall, MDIV, MACMH, LPC is a registered healthcare professional specializing in Counselor - Professional in Flintstone, GA. Practice services are available at 429 TINKER BELL CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

429 Tinker Bell Cir

Flintstone, GA 307252178

Telephone 7178749660

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Flintstone, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
2 Specialists

Practicing in Flintstone, GA (6655 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-30
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated January 30, 2025

Recorded as HEATHER WALL, MDIV, MACMH, LPC

NPI Profile Active April 19, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location April 19, 2023

Registered at 429 TINKER BELL CIR, FLINTSTONE, GA 307252178 (Tel: 7178749660)

📍
Updated Business Mailing Address April 19, 2023

Registered at 429 TINKER BELL CIR, FLINTSTONE, GA 307252178 (Tel: 7178749660)

👤
Provider Name / Credentials Updated April 19, 2023

Recorded as HEATHER JOHNS, MDIV, MACMH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2023

Counselor

🟢
Initial NPI Registration & Enumeration April 19, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316634561
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2023
Last Update: January 30, 2025
Sole Proprietor: No

Mailing Address

429 Tinker Bell Cir

Flintstone, GA 307252178

Phone: 7178749660

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.