Provider Demographics
NPI:1003550302
Name:GILDER JOHNSON, HELEN
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:GILDER JOHNSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHRISTIE
Other - Middle Name:
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4778 OVERTON RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35210-3803
Mailing Address - Country:US
Mailing Address - Phone:205-957-0294
Mailing Address - Fax:
Practice Address - Street 1:2305 ARLINGTON AVE S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-4111
Practice Address - Country:US
Practice Address - Phone:205-957-2242
Practice Address - Fax:659-241-3055
Is Sole Proprietor?:No
Enumeration Date:2022-04-22
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician