Provider Demographics
NPI:1457747008
Name:GERMANO, HEIDI D (MA LMHC)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:D
Last Name:GERMANO
Suffix:
Gender:F
Credentials:MA LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 CANE CIR
Mailing Address - Street 2:
Mailing Address - City:NAHUNTA
Mailing Address - State:GA
Mailing Address - Zip Code:31553-2608
Mailing Address - Country:US
Mailing Address - Phone:828-409-9047
Mailing Address - Fax:888-901-6148
Practice Address - Street 1:91 CANE CIR
Practice Address - Street 2:
Practice Address - City:NAHUNTA
Practice Address - State:GA
Practice Address - Zip Code:31553-2608
Practice Address - Country:US
Practice Address - Phone:828-409-9047
Practice Address - Fax:888-901-6148
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-10
Last Update Date:2021-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11468101YM0800X
NCA11468101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health