Provider Demographics
NPI:1346494762
Name:HELMS, AMY (LISW-CP, LCSW, RD/LD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:HELMS
Suffix:
Gender:F
Credentials:LISW-CP, LCSW, RD/LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3321 FOREST DR STE 3
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29204-4000
Mailing Address - Country:US
Mailing Address - Phone:803-569-9164
Mailing Address - Fax:
Practice Address - Street 1:3321 FOREST DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204-4000
Practice Address - Country:US
Practice Address - Phone:803-569-9164
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-12
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0083621041C0700X
133NN1002X, 133VN1004X
GALD002881133V00000X
SC1292133V00000X
SC149491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric