Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ANDREW PHILIP HEIDESCH, LMFT
ActiveMarriage & Family Therapist · BOGART, GA
Registration Details
- NPI Number
- 1760504641
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 4, 2007 (19.05740949968 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MFT001048 (GA)
Practice Information
- Address
-
1361 JENNINGS MILL ROADSUITE 201BOGART, GA, 30622Browse GA providers · Browse ZIP 30622
- Phone
- 7063161908
- Fax
- 7063162062
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
Other Marriage & Family Therapist Providers in BOGART, GA
| Name | Credential | NPI |
|---|---|---|
| MR. OSCAR LAUDEN DELOZIER JR. | M DIV | 1922175207 |
| DR. RONALD BLAINE EVERSON | PH.D. | 1720113434 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.