Provider Demographics
NPI:1437536760
Name:HELUMS, PHILLIS J (LPC)
Entity Type:Individual
Prefix:MS
First Name:PHILLIS
Middle Name:J
Last Name:HELUMS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 N STATE HIGHWAY 360 APT 2200
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-9024
Mailing Address - Country:US
Mailing Address - Phone:214-247-6109
Mailing Address - Fax:
Practice Address - Street 1:370 N STATE HIGHWAY 360 APT 2200
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-9024
Practice Address - Country:US
Practice Address - Phone:214-247-6109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-06
Last Update Date:2016-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66788101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health