Provider Demographics
NPI:1740508274
Name:HELPENSTILL, MARY K (LCSW)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:K
Last Name:HELPENSTILL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2142
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72145-2142
Mailing Address - Country:US
Mailing Address - Phone:501-388-1636
Mailing Address - Fax:501-268-4748
Practice Address - Street 1:501 E RACE AVE
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-4416
Practice Address - Country:US
Practice Address - Phone:501-388-1636
Practice Address - Fax:501-268-4748
Is Sole Proprietor?:No
Enumeration Date:2010-05-07
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1136-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR1136-COtherLICENSE