Provider Demographics
NPI:1760723670
Name:HELMI, BASSEL FOUAD
Entity Type:Individual
Prefix:MR
First Name:BASSEL
Middle Name:FOUAD
Last Name:HELMI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4510 PLANK ROAD, STE. 100, BOX 5
Mailing Address - Street 2:ELITE ACADEMY
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-0138
Mailing Address - Country:US
Mailing Address - Phone:540-412-5028
Mailing Address - Fax:540-412-5030
Practice Address - Street 1:4510 PLANK RD STE 100
Practice Address - Street 2:ELITE ACADEMY
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-0138
Practice Address - Country:US
Practice Address - Phone:540-412-5028
Practice Address - Fax:540-412-5030
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-04
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst