Provider Demographics
NPI:1427658368
Name:HECKMANN, GRETA KATHERINE (PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:GRETA
Middle Name:KATHERINE
Last Name:HECKMANN
Suffix:
Gender:
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2184 E CHEROKEE DR
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-1776
Mailing Address - Country:US
Mailing Address - Phone:404-480-3076
Mailing Address - Fax:404-826-6737
Practice Address - Street 1:2184 E CHEROKEE DR
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-1776
Practice Address - Country:US
Practice Address - Phone:404-480-3076
Practice Address - Fax:404-826-6737
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-29
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN301998363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health