Healthcare Provider Details
I. General information
NPI: 1326296468
Provider Name (Legal Business Name): HELEN LOUISE BURTON M.ED, LPC, LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/03/2008
Last Update Date: 11/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1411 REYNOLDSTON LN
DALLAS TX
75232-2411
US
IV. Provider business mailing address
PO BOX 667
CEDAR HILL TX
75106-0667
US
V. Phone/Fax
- Phone: 972-740-6059
- Fax: 214-988-1700
- Phone: 972-740-6059
- Fax: 214-988-1700
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| License Number | 02795 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | 7802 |
| License Number State | TX |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | 02795 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: