Provider Demographics
NPI:1558130807
Name:HELFER, ELYSSA (PHD, LMFT, CST)
Entity Type:Individual
Prefix:
First Name:ELYSSA
Middle Name:
Last Name:HELFER
Suffix:
Gender:F
Credentials:PHD, LMFT, CST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21700 OXNARD ST STE 2020
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-7597
Mailing Address - Country:US
Mailing Address - Phone:818-451-3172
Mailing Address - Fax:
Practice Address - Street 1:21700 OXNARD ST STE 2020
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-7597
Practice Address - Country:US
Practice Address - Phone:818-451-3172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA118463106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist