Healthcare Provider Details

I. General information

NPI: 1649730615
Provider Name (Legal Business Name): HELLMAN COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2019
Last Update Date: 12/18/2019
Certification Date: 12/18/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3280 BELTLNE CT NE
GRAND RAPIDS MI
49525
US

IV. Provider business mailing address

3280 BELTLNE CT NE
GRAND RAPIDS MI
49525
US

V. Phone/Fax

Practice location:
  • Phone: 231-557-9366
  • Fax:
Mailing address:
  • Phone: 231-557-9366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: HEATHER M HELLMAN
Title or Position: OWNER
Credential: LMSW
Phone: 231-557-9366