Provider Demographics
NPI:1013595321
Name:UNHOCH MACCAULEY, HELENA LEE (LMHPE)
Entity Type:Individual
Prefix:
First Name:HELENA
Middle Name:LEE
Last Name:UNHOCH MACCAULEY
Suffix:
Gender:F
Credentials:LMHPE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:533 HIDDEN FARM DR
Mailing Address - Street 2:
Mailing Address - City:MINERAL
Mailing Address - State:VA
Mailing Address - Zip Code:23117-4159
Mailing Address - Country:US
Mailing Address - Phone:276-768-0216
Mailing Address - Fax:
Practice Address - Street 1:125 OLDE GREENWICH DR STE 300
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22408-4008
Practice Address - Country:US
Practice Address - Phone:540-374-5599
Practice Address - Fax:540-735-8097
Is Sole Proprietor?:No
Enumeration Date:2021-03-30
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0704013183101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health