=====================================================
General NPI Number Information
=====================================================
NPI Number | 1669011862
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CINDY HOERIG COUNSELING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/06/2020
-----------------------------------------------------
Last Update Date | 01/06/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 284 S MAIN ST STE 800
-----------------------------------------------------
City | ALPHARETTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30009-1980
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 404-713-8201
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 284 S MAIN ST STE 800
-----------------------------------------------------
City | ALPHARETTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30009-1980
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 404-713-8201
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | LICENCED PROFESSIONAL COUNSELOR
-----------------------------------------------------
Name | CYNTHIA HOERIG
-----------------------------------------------------
Credential | LLC
-----------------------------------------------------
Telephone | 404-713-8201
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101Y00000X
-----------------------------------------------------
Taxonomy Name | Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------