Healthcare Provider Details

I. General information

NPI: 1235048695
Provider Name (Legal Business Name): TIMOTHY L. HERRIN, LPC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1622 BEN HIGGINS RD
DAHLONEGA GA
30533-5284
US

IV. Provider business mailing address

1622 BEN HIGGINS RD
DAHLONEGA GA
30533-5284
US

V. Phone/Fax

Practice location:
  • Phone: 706-429-5493
  • Fax: 706-429-5493
Mailing address:
  • Phone: 706-429-5493
  • Fax: 706-429-5493

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. TIMOTHY LEE HERRIN
Title or Position: OWNER
Credential: LPC
Phone: 706-429-5493