MEDICARE: HELEN LIANG

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	LPCC9119	CA
2	101YM0800X	Mental Health Counselor	MHC958-0	HI
3	106H00000X	Marriage & Family Therapist	LPCC9119	CA
4	106H00000X	Marriage & Family Therapist	MHC958-0	HI

General Provider Information

NPI Number	:	1770079667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HELEN LIANG

Provider Business Mailing Address
First Line	:	145 EDGEWOOD AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94117-3712
Country	:	US
Telephone Number	:	415-854-0459
Fax Number	:

Provider Business Practice Location Address
First Line	:	145 EDGEWOOD AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94117-3712
Country	:	US
Telephone Number	:	415-854-0459
Fax Number	:

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

Provider Enumeration Date	:	07/03/2018
Last Update Date	:	03/07/2024

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Directions to “ HELEN LIANG ” Practice Location

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