Provider Demographics
NPI:1184632507
Name:DILLARD, HELEN HOPE (LICENSED PROFESSIONA)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:HOPE
Last Name:DILLARD
Suffix:
Gender:F
Credentials:LICENSED PROFESSIONA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1769 JAMESTOWN RD STE 118
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-2310
Mailing Address - Country:US
Mailing Address - Phone:757-585-8752
Mailing Address - Fax:757-301-4147
Practice Address - Street 1:1769 JAMESTOWN RD STE 118
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-2310
Practice Address - Country:US
Practice Address - Phone:757-585-8752
Practice Address - Fax:757-301-4147
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003060101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA453883OtherANTHEM
VA5413311Medicaid
VA272846000OtherMAGELLAN