MEDICARE: STEPHANIE HELMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154880375
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE HELMS

Provider Business Mailing Address
First Line	:	1921 WHITTLESEY RD STE 320
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-9212
Country	:	US
Telephone Number	:	706-571-7771
Fax Number	:

Provider Business Practice Location Address
First Line	:	1921 WHITTLESEY RD STE 320
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-9212
Country	:	US
Telephone Number	:	706-571-7771
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2019
Last Update Date	:	06/15/2020

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Directions to “ STEPHANIE HELMS ” Practice Location

Language	Start Address	Practice Location

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