Provider Demographics
NPI:1508189465
Name:ALLRED, HELEN MARIE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:MARIE
Last Name:ALLRED
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:M
Other - Last Name:STREETMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14453 SE 29TH STREET
Mailing Address - Street 2:STE D
Mailing Address - City:CHOCTAW
Mailing Address - State:OK
Mailing Address - Zip Code:73020
Mailing Address - Country:US
Mailing Address - Phone:405-741-2844
Mailing Address - Fax:405-733-1334
Practice Address - Street 1:14453 SE 29TH STREET
Practice Address - Street 2:STE D
Practice Address - City:CHOCTAW
Practice Address - State:OK
Practice Address - Zip Code:73020
Practice Address - Country:US
Practice Address - Phone:405-741-2844
Practice Address - Fax:405-733-1334
Is Sole Proprietor?:No
Enumeration Date:2010-03-08
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3708101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200319030AMedicaid