Prunty, Heather W

Prunty, Heather W is an sole proprietor health care provider with primary practice located at 101 Katelyn Cir Ste C , Warner Robins GA 31088-6484. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Prunty, Heather W can be contacted via phone (678) 664-8742.

Contact Information

Primary practice address
101 Katelyn Cir Ste C Warner Robins GA 31088-6484
Phone: (678) 664-8742
Fax: (844) 853-5737
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC007092 Georgia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC007092 Georgia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LPC007092 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC007092 Georgia

Profile Details

NPI number 1881028215
LBN Legal business name Prunty, Heather W
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2013
Last updated Mar 30th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881028215 NPPES
Georgia MEDICAID 003152827A

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