Provider Demographics
NPI:1073545976
Name:POPE, HELEN L (LMSW, CAADC)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:L
Last Name:POPE
Suffix:
Gender:F
Credentials:LMSW, CAADC
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:L
Other - Last Name:BROECKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:28000 DEQUINDRE RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48092-2468
Mailing Address - Country:US
Mailing Address - Phone:586-753-0400
Mailing Address - Fax:586-753-3896
Practice Address - Street 1:45660 SCHOENHERR RD
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48315-6033
Practice Address - Country:US
Practice Address - Phone:586-566-3020
Practice Address - Fax:586-566-3055
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2016-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010639291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1-01315OtherMCBAP