Provider Demographics
NPI:1538681937
Name:DREW HELVESTON, LLC
Entity Type:Organization
Organization Name:DREW HELVESTON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:H
Authorized Official - Last Name:HELVESTON
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:256-665-9966
Mailing Address - Street 1:120 HOLMES AVE NE STE 400
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4830
Mailing Address - Country:US
Mailing Address - Phone:256-665-9966
Mailing Address - Fax:888-502-1589
Practice Address - Street 1:120 HOLMES AVE NE STE 400
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4830
Practice Address - Country:US
Practice Address - Phone:256-665-9966
Practice Address - Fax:888-502-1589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1330-3904C104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1477922698OtherNPI INDIVIDUAL NUMBER