Healthcare Provider Details

I. General information

NPI: 1992051783
Provider Name (Legal Business Name): ERIKA NICHOLE HEINZLE MS, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIKA NICHOLE SNIPES

II. Dates (important events)

Enumeration Date: 07/30/2012
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HUNTINGTON RD STE 802
ATHENS GA
30606-7216
US

IV. Provider business mailing address

145 PENDLETON DR
ATHENS GA
30606-1644
US

V. Phone/Fax

Practice location:
  • Phone: 706-395-5266
  • Fax: 855-700-4579
Mailing address:
  • Phone: 706-395-5266
  • Fax: 855-700-4579

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC007119
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: