Provider Demographics
NPI:1699026799
Name:HELIOS BODYCARE, PLLC
Entity Type:Organization
Organization Name:HELIOS BODYCARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZER
Authorized Official - Prefix:DR
Authorized Official - First Name:KIRSTIN
Authorized Official - Middle Name:ALANE
Authorized Official - Last Name:COUNTS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:704-575-8247
Mailing Address - Street 1:PO BOX 901
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27602-0901
Mailing Address - Country:US
Mailing Address - Phone:704-575-8247
Mailing Address - Fax:
Practice Address - Street 1:1022 S 5TH AVE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-5624
Practice Address - Country:US
Practice Address - Phone:704-575-8247
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-28
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2907111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty