Provider Demographics
NPI:1659251429
Name:HEETER, CATHRYN
Entity type:Individual
Prefix:
First Name:CATHRYN
Middle Name:
Last Name:HEETER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CATIE
Other - Middle Name:
Other - Last Name:HEETER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3217 S CHEROKEE LN STE 730
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-7053
Mailing Address - Country:US
Mailing Address - Phone:678-384-4911
Mailing Address - Fax:
Practice Address - Street 1:3217 S CHEROKEE LN STE 730
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-7053
Practice Address - Country:US
Practice Address - Phone:678-384-4911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical