Provider Demographics
NPI:1235983925
Name:HELFGOTT, CHARLOTTE GRACE
Entity Type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:GRACE
Last Name:HELFGOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 KOSTER DR
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2837
Mailing Address - Country:US
Mailing Address - Phone:908-670-4763
Mailing Address - Fax:
Practice Address - Street 1:450 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-2326
Practice Address - Country:US
Practice Address - Phone:732-290-2800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health