Provider Demographics
NPI:1568094860
Name:HELMS, GEOFFREY WHIT (LCSW)
Entity Type:Individual
Prefix:
First Name:GEOFFREY
Middle Name:WHIT
Last Name:HELMS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:273 E CREEKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:WEWAHITCHKA
Mailing Address - State:FL
Mailing Address - Zip Code:32465-2703
Mailing Address - Country:US
Mailing Address - Phone:850-427-2650
Mailing Address - Fax:
Practice Address - Street 1:3072 NW DREW HALL RD
Practice Address - Street 2:
Practice Address - City:ALTHA
Practice Address - State:FL
Practice Address - Zip Code:32421-2106
Practice Address - Country:US
Practice Address - Phone:850-427-2650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-05
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCAP100108101YA0400X
FLSW153681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)