MEDICARE: MRS. HELEN HOPE DILLARD LICENSED PROFESSIONA

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	101YP2500X	Professional Counselor	0701003060	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	453883	OTHER	VA	ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	272846000	OTHER	VA	MAGELLAN

General Provider Information

NPI Number	:	1184632507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HELEN HOPE DILLARD LICENSED PROFESSIONA

Provider Business Mailing Address
First Line	:	1769 JAMESTOWN RD STE 118
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23185-2310
Country	:	US
Telephone Number	:	757-585-8752
Fax Number	:	757-301-4147

Provider Business Practice Location Address
First Line	:	1769 JAMESTOWN RD STE 118
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23185-2310
Country	:	US
Telephone Number	:	757-585-8752
Fax Number	:	757-301-4147

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

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	03/03/2023

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Directions to “ MRS. HELEN HOPE DILLARD LICENSED PROFESSIONA” Practice Location

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