Doctor Name: | MRS. STACEY DENISE HELM |
NPI Number: | 1013232768 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC |
License Number: | 62725 |
Business Practice Address: | 1002 Chestnut St Bastrop, TX - 786023304 |
Business Phone Number: | 5123216161 |
Business Fax Number: | 5123033985 |
Mailing Address: | 112 Kauai Ct, BASTROP |
State: | TX |
Postal Code: | 786027105 |
Phone Number: | 5129442496 |
Fax Number: | |
NPI Enumeration Date: | 04/06/2010 |
NPI Last Update Date: | 04/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 62725 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |