Provider Demographics
NPI:1104166115
Name:HOERIG, CYNTHIA MARLENE (LPC)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:MARLENE
Last Name:HOERIG
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10430 SAINT SIMONDS CT
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30022-6026
Mailing Address - Country:US
Mailing Address - Phone:404-713-8201
Mailing Address - Fax:403-551-2928
Practice Address - Street 1:284 S MAIN ST
Practice Address - Street 2:SUITE 800
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-7904
Practice Address - Country:US
Practice Address - Phone:404-713-8201
Practice Address - Fax:404-551-2928
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-28
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC006593101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional