Provider Demographics
NPI:1659965911
Name:HELANS HOPE AND HEALING COUNSELING
Entity Type:Organization
Organization Name:HELANS HOPE AND HEALING COUNSELING
Other - Org Name:HELANS HOPE AND HEALING COUNSELING
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HELAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ESSA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:904-629-0841
Mailing Address - Street 1:15690 TOKARA CT
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32218-8164
Mailing Address - Country:US
Mailing Address - Phone:904-629-8041
Mailing Address - Fax:
Practice Address - Street 1:15690 TOKARA CT
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32218-8164
Practice Address - Country:US
Practice Address - Phone:904-629-8041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-25
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty