Provider Demographics
NPI:1427572999
Name:HELLER, JAMES BARNETT
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:BARNETT
Last Name:HELLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:292 S LA CIENEGA BLVD STE 214
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3342
Mailing Address - Country:US
Mailing Address - Phone:310-659-7449
Mailing Address - Fax:
Practice Address - Street 1:292 S LA CIENEGA BLVD STE 214
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3342
Practice Address - Country:US
Practice Address - Phone:310-659-7449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36232106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist