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General NPI Number Information
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NPI Number | 1235481136
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Entity Type | Individual
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Provider Name | COLLEEN MICHELLE HELMS LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/03/2012
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Last Update Date | 11/20/2020
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Provider Practice Location Address
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Address Line | 920 HERITAGE PARK BLVD STE 200
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City | LAYTON
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State | UT
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Zip | 84041-5645
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Country | US
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Telephone | 385-758-0003
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Fax | 833-607-1236
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Provider Business Mailing Address
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Address Line | 5688 S 3050 W
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City | ROY
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State | UT
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Zip | 84067-1138
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Country | US
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Telephone | 13-857-5800
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Fax | 833-607-1236
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 8684514-3501
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License Number State | UT
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