Provider Demographics
NPI:1467548602
Name:HELTON, TAMARA G (M ED LPC)
Entity Type:Individual
Prefix:MRS
First Name:TAMARA
Middle Name:G
Last Name:HELTON
Suffix:
Gender:F
Credentials:M ED LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1670 KELLER PKWY
Mailing Address - Street 2:SUITE 261
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248
Mailing Address - Country:US
Mailing Address - Phone:817-741-7999
Mailing Address - Fax:817-741-7015
Practice Address - Street 1:1670 KELLER PKWY
Practice Address - Street 2:SUITE 261
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248
Practice Address - Country:US
Practice Address - Phone:817-741-7999
Practice Address - Fax:817-741-7015
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18704101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor