| Doctor Name: | RICHARD HELLER |
| NPI Number: | 1598130841 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCPC, MDIV |
| License Number: | 180.005419 |
| Business Practice Address: | 107 N Wood Dale Rd Wood Dale, IL - 601912029 |
| Business Phone Number: | 8475717015 |
| Business Fax Number: | |
| Mailing Address: | 1832 W Crescent Ave, PARK RIDGE |
| State: | IL |
| Postal Code: | 600683878 |
| Phone Number: | 8478234767 |
| Fax Number: | |
| NPI Enumeration Date: | 12/10/2015 |
| NPI Last Update Date: | 12/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 180.005419 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |