Provider Demographics
NPI:1316589542
Name:HELM-LEWIS, KATHERINE MELISSA (PHD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:MELISSA
Last Name:HELM-LEWIS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:881 SAINT ANDREWS WAY
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-8767
Mailing Address - Country:US
Mailing Address - Phone:708-870-2139
Mailing Address - Fax:
Practice Address - Street 1:FOX VALLEY INSTITUTE
Practice Address - Street 2:640 NORTH RIVER ROAD, SUITE 108
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60423
Practice Address - Country:US
Practice Address - Phone:708-870-2139
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-09
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071006755103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling