Provider Demographics
NPI:1619755303
Name:MCGINTY, HEATHER A (MFT)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:A
Last Name:MCGINTY
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4110 MANOR OVERLOOK DRIVE
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30028-3533
Mailing Address - Country:US
Mailing Address - Phone:678-687-0545
Mailing Address - Fax:
Practice Address - Street 1:4110 MANOR OVERLOOK DRIVE
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30028-3522
Practice Address - Country:US
Practice Address - Phone:678-687-0545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA06231633101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor