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NPI Code Detail

MEDICARE: DAVID THANOS HELIOTIS LPCC

MEDICARE: DAVID THANOS HELIOTIS LPCC
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
1101YM0800XMental Health Counselor12999CA

General Provider Information

NPI Number : 1366996878
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID THANOS HELIOTIS LPCC
Provider Business Mailing Address
First Line : 1918 BONITA AVE STE 200
Second Line :
City : BERKELEY
State : CA
Zip : 94704-1014
Country : US
Telephone Number : 908-208-1273
Fax Number :
Provider Business Practice Location Address
First Line : 2915 MARTIN LUTHER KING JR WAY
Second Line :
City : BERKELEY
State : CA
Zip : 94703-2133
Country : US
Telephone Number : 510-761-8451
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2016
Last Update Date : 02/12/2026

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Directions to “ DAVID THANOS HELIOTIS LPCC” Practice Location

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