Provider Demographics
NPI:1477860674
Name:HELLING, DAVID W (LCSW)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:W
Last Name:HELLING
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 E LESLIE LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65202-1535
Mailing Address - Country:US
Mailing Address - Phone:573-875-8880
Mailing Address - Fax:573-442-3830
Practice Address - Street 1:90 E LESLIE LN
Practice Address - Street 2:PHOENIX PROGRAMS
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65202-1535
Practice Address - Country:US
Practice Address - Phone:573-875-8880
Practice Address - Fax:573-442-3830
Is Sole Proprietor?:No
Enumeration Date:2010-09-09
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO4982101YA0400X
MO20060258881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1265757991OtherEMPLOYING AGENCY NPI (PHOENIX PROGRAMS, INC)