Healthcare Provider Details
I. General information
NPI: 1154923027
Provider Name (Legal Business Name): BROOKLYNN SAMANTHA DIMIT-HELZER MS, LPC, ATR, CAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/14/2020
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
114 ORCHARD LAKE RD
PONTIAC MI
48341-2244
US
IV. Provider business mailing address
114 ORCHARD LAKE RD
PONTIAC MI
48341-2244
US
V. Phone/Fax
- Phone: 248-858-7766
- Fax:
- Phone: 248-858-7766
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 6401020281 |
| License Number State | MI |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: