Provider Demographics
NPI:1508566266
Name:HELTON, SARAH GRACE (PHD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:GRACE
Last Name:HELTON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:GRACE
Other - Last Name:UHOUSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5059 26TH RD N
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22207-1716
Mailing Address - Country:US
Mailing Address - Phone:901-569-0933
Mailing Address - Fax:
Practice Address - Street 1:5059 26TH RD N
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22207-1716
Practice Address - Country:US
Practice Address - Phone:901-569-0933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-09
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810008054103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical