MEDICARE: KATIE HELPLEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	001047-1	NY

General Provider Information

NPI Number	:	1780721969
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIE HELPLEY

Provider Business Mailing Address
First Line	:	89 LUTHIEN FORREST RD
Second Line	:
City	:	ROCK TAVERN
State	:	NY
Zip	:	12575-5566
Country	:	US
Telephone Number	:	845-859-0447
Fax Number	:

Provider Business Practice Location Address
First Line	:	550 STONY BROOK CT
Second Line	:
City	:	NEWBURGH
State	:	NY
Zip	:	12550-6556
Country	:	US
Telephone Number	:	845-859-0447
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	09/16/2020

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Directions to “ KATIE HELPLEY ” Practice Location

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