| Doctor Name: | MS. LARA MARIE-DAVERMAN HELMUS |
| NPI Number: | 1871625350 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW, ACSW |
| License Number: | 6801088594 |
| Business Practice Address: | 607 Heritage Ct Holland, MI - 494235481 |
| Business Phone Number: | 6163966285 |
| Business Fax Number: | 6163557704 |
| Mailing Address: | 607 Heritage Ct, HOLLAND |
| State: | MI |
| Postal Code: | 494235481 |
| Phone Number: | 6163966285 |
| Fax Number: | 6163557704 |
| NPI Enumeration Date: | 03/11/2007 |
| NPI Last Update Date: | 04/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 6801088594 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |