Provider Demographics
NPI:1073858411
Name:HELLEMS, AARON STANTON (LCSW)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:STANTON
Last Name:HELLEMS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2229 FAWCETT HILL RD
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-5054
Mailing Address - Country:US
Mailing Address - Phone:859-537-4270
Mailing Address - Fax:
Practice Address - Street 1:1919 STATE ST
Practice Address - Street 2:SUITE NUMBER 18
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-4929
Practice Address - Country:US
Practice Address - Phone:812-944-2532
Practice Address - Fax:812-944-2549
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-11
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34006617A1041C0700X
KY37051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical