Healthcare Provider Details

I. General information

NPI: 1275929176
Provider Name (Legal Business Name): JEFFREY LEE HELMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2015
Last Update Date: 12/04/2023
Certification Date: 12/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 PIEDMONT AVE NE APT C4
ATLANTA GA
30309-3732
US

IV. Provider business mailing address

1015 PIEDMONT AVE NE APT C4
ATLANTA GA
30309-3732
US

V. Phone/Fax

Practice location:
  • Phone: 678-523-9301
  • Fax:
Mailing address:
  • Phone: 678-523-9301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFREY LEE HELMS
Title or Position: OWNER
Credential:
Phone: 678-523-9301