Provider Demographics
NPI:1568707966
Name:HELLEN, BILLIE JO (MSW)
Entity Type:Individual
Prefix:
First Name:BILLIE
Middle Name:JO
Last Name:HELLEN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 W GENESEE ST STE 9
Mailing Address - Street 2:
Mailing Address - City:IRON RIVER
Mailing Address - State:MI
Mailing Address - Zip Code:49935-1497
Mailing Address - Country:US
Mailing Address - Phone:906-265-2000
Mailing Address - Fax:906-265-2004
Practice Address - Street 1:113 S CURRY ST
Practice Address - Street 2:
Practice Address - City:IRONWOOD
Practice Address - State:MI
Practice Address - Zip Code:49938-2211
Practice Address - Country:US
Practice Address - Phone:906-364-7270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-11
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010942691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical