Provider Demographics
NPI:1760621510
Name:HELTON, LORA MICHELLE (MED, LPCC)
Entity Type:Individual
Prefix:
First Name:LORA
Middle Name:MICHELLE
Last Name:HELTON
Suffix:
Gender:F
Credentials:MED, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1471
Mailing Address - Street 2:
Mailing Address - City:HARLAN
Mailing Address - State:KY
Mailing Address - Zip Code:40831-1471
Mailing Address - Country:US
Mailing Address - Phone:606-621-5134
Mailing Address - Fax:844-273-2373
Practice Address - Street 1:112 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HARLAN
Practice Address - State:KY
Practice Address - Zip Code:40831-2106
Practice Address - Country:US
Practice Address - Phone:606-621-5134
Practice Address - Fax:844-273-2373
Is Sole Proprietor?:No
Enumeration Date:2009-02-18
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY103860101YM0800X
KY1408101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY103860OtherLICENSE