Provider Demographics
NPI:1306855499
Name:HELLING-CHRISTY, LAURA KAY (MA,LP)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:KAY
Last Name:HELLING-CHRISTY
Suffix:
Gender:F
Credentials:MA,LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 3RD ST
Mailing Address - Street 2:
Mailing Address - City:EXCELSIOR
Mailing Address - State:MN
Mailing Address - Zip Code:55331-1719
Mailing Address - Country:US
Mailing Address - Phone:952-474-4580
Mailing Address - Fax:
Practice Address - Street 1:17819 HUTCHINS DR
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55345-4106
Practice Address - Country:US
Practice Address - Phone:952-470-1186
Practice Address - Fax:952-470-1187
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP2965103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN7149099OtherEMPLOYERS STSTE I.D. NUMB