Healthcare Provider Details

I. General information

NPI: 1497728265
Provider Name (Legal Business Name): JANE G HELLMAN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 COUNTRY CLUB DR SW
BLACKSBURG VA
24060-5417
US

IV. Provider business mailing address

3922 MCCOY RD
BLACKSBURG VA
24060-0656
US

V. Phone/Fax

Practice location:
  • Phone: 540-772-8043
  • Fax: 540-772-8242
Mailing address:
  • Phone: 540-951-5318
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701003759
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: