Provider Demographics
NPI:1235481136
Name:HELMS, COLLEEN MICHELLE (LCSW)
Entity Type:Individual
Prefix:
First Name:COLLEEN
Middle Name:MICHELLE
Last Name:HELMS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5688 S 3050 W
Mailing Address - Street 2:
Mailing Address - City:ROY
Mailing Address - State:UT
Mailing Address - Zip Code:84067-1138
Mailing Address - Country:US
Mailing Address - Phone:013-857-5800
Mailing Address - Fax:833-607-1236
Practice Address - Street 1:920 HERITAGE PARK BLVD STE 200
Practice Address - Street 2:
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-5645
Practice Address - Country:US
Practice Address - Phone:385-758-0003
Practice Address - Fax:833-607-1236
Is Sole Proprietor?:No
Enumeration Date:2012-10-03
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8684514-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical