Provider Demographics
NPI:1568891885
Name:HELMSTEAD, ELIZABETH JANE (MA, LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH JANE
Middle Name:
Last Name:HELMSTEAD
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4519 CASCADE RD SE STE 11
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-8319
Mailing Address - Country:US
Mailing Address - Phone:616-780-9412
Mailing Address - Fax:
Practice Address - Street 1:6343 REDINGTON DR SE
Practice Address - Street 2:
Practice Address - City:ADA
Practice Address - State:MI
Practice Address - Zip Code:49301-9021
Practice Address - Country:US
Practice Address - Phone:616-682-4672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-07
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401007753101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional