Healthcare Provider Details

I. General information

NPI: 1316760143
Provider Name (Legal Business Name): HELEN BERGER MA, LPC, R-DMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2024
Last Update Date: 10/31/2024
Certification Date: 10/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

890 ELM GROVE RD STE 2&103B
ELM GROVE WI
53122-2528
US

IV. Provider business mailing address

1511 N 67TH ST
WAUWATOSA WI
53213-2849
US

V. Phone/Fax

Practice location:
  • Phone: 262-506-4419
  • Fax:
Mailing address:
  • Phone: 513-520-1870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number10995-125
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code225600000X
TaxonomyDance Therapist
License Number18-37
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: