Provider Demographics
NPI:1063674869
Name:HELPS, STACEY R (DO)
Entity Type:Individual
Prefix:
First Name:STACEY
Middle Name:R
Last Name:HELPS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:101 N LYNNHAVEN RD STE 201
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-7523
Mailing Address - Country:US
Mailing Address - Phone:757-384-9296
Mailing Address - Fax:757-961-4362
Practice Address - Street 1:101 N LYNNHAVEN RD STE 201
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-7523
Practice Address - Country:US
Practice Address - Phone:757-384-9296
Practice Address - Fax:757-961-4362
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-02
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01022033512084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry