=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477118214
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HELLER COUNSELING SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/07/2019
-----------------------------------------------------
Last Update Date | 03/14/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 39 GRANT ST
-----------------------------------------------------
City | NORFOLK
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06058-1327
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 860-248-9857
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 39 GRANT ST
-----------------------------------------------------
City | NORFOLK
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06058
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 860-248-9857
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MS. SARA R HELLER
-----------------------------------------------------
Credential | LADC, LPC
-----------------------------------------------------
Telephone | 860-248-9857
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YA0400X
-----------------------------------------------------
Taxonomy Name | Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------