Provider Demographics
NPI:1558052761
Name:HELLIJAS, AMELIA HELEN-MARIE
Entity Type:Individual
Prefix:
First Name:AMELIA
Middle Name:HELEN-MARIE
Last Name:HELLIJAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:337B STATE HIGHWAY 420
Mailing Address - Street 2:
Mailing Address - City:WINTHROP
Mailing Address - State:NY
Mailing Address - Zip Code:13697-3200
Mailing Address - Country:US
Mailing Address - Phone:518-317-0799
Mailing Address - Fax:
Practice Address - Street 1:337B STATE HIGHWAY 420
Practice Address - Street 2:
Practice Address - City:WINTHROP
Practice Address - State:NY
Practice Address - Zip Code:13697-3200
Practice Address - Country:US
Practice Address - Phone:518-317-0799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-18
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker