Provider Demographics
NPI:1295374205
Name:KLING, HELEN R (MA, ATR-BC)
Entity Type:Individual
Prefix:MS
First Name:HELEN
Middle Name:R
Last Name:KLING
Suffix:
Gender:F
Credentials:MA, ATR-BC
Other - Prefix:
Other - First Name:DREAMA
Other - Middle Name:
Other - Last Name:PHOENIX
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 766 (102 S, LOCUST)
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:AR
Mailing Address - Zip Code:72641-0741
Mailing Address - Country:US
Mailing Address - Phone:479-790-0400
Mailing Address - Fax:
Practice Address - Street 1:102 S, LOCUST
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:AR
Practice Address - Zip Code:72641-0741
Practice Address - Country:US
Practice Address - Phone:479-790-0400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-23
Last Update Date:2019-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
89-065221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist