Provider Demographics
NPI:1558507061
Name:COFFMAN, HELEN KAY (LCSW)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:KAY
Last Name:COFFMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12440 ALAMEDA TRACE CIR APT 2216
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78727-7607
Mailing Address - Country:US
Mailing Address - Phone:512-656-3263
Mailing Address - Fax:512-401-3053
Practice Address - Street 1:5750 BALCONES DR STE 117
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-4267
Practice Address - Country:US
Practice Address - Phone:512-656-3263
Practice Address - Fax:512-401-3053
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-05
Last Update Date:2012-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40306101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health