Healthcare Provider Details

I. General information

NPI: 1902728330
Provider Name (Legal Business Name): ELMAMARIE HELDZINGER LPC-MHSP, APCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELMA MARIE HELDZINGER LPC-MHSP, APCC

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NEDLEY CLINIC 20601 W. PAOLI LN
WEIMAR CA
95736
US

IV. Provider business mailing address

743 BANTHER RD
MC DONALD TN
37353-5024
US

V. Phone/Fax

Practice location:
  • Phone: 530-422-7920
  • Fax:
Mailing address:
  • Phone: 423-827-4556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number5750
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPCC16064
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: