=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831952845
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THERAPY HELPS, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/01/2024
-----------------------------------------------------
Last Update Date | 02/01/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 118 COPELAND CT APT 309
-----------------------------------------------------
City | NEW HARTFORD
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 13413-5388
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 315-794-2870
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 322
-----------------------------------------------------
City | MARCY
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 13403-0322
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 315-794-2870
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | LISA KAELIN
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 315-794-2870
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------