MEDICARE: JEFFREY HELMS LCMHC

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	A12531	NC
2	101YP2500X	Professional Counselor	12531	NC
3	101Y00000X	Counselor	A12531	NC

General Provider Information

NPI Number	:	1700335650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY HELMS LCMHC

Provider Business Mailing Address
First Line	:	2608 CROYDON RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28209-1622
Country	:	US
Telephone Number	:	321-217-6291
Fax Number	:

Provider Business Practice Location Address
First Line	:	2608 CROYDON RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28209-1622
Country	:	US
Telephone Number	:	321-217-6291
Fax Number	:

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

Provider Enumeration Date	:	10/03/2016
Last Update Date	:	09/29/2023

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