Provider Demographics
NPI:1790338465
Name:HELTON, TONYA (LPCA)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:
Last Name:HELTON
Suffix:
Gender:F
Credentials:LPCA
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 1845
Mailing Address - Street 2:
Mailing Address - City:HYDEN
Mailing Address - State:KY
Mailing Address - Zip Code:41749-1845
Mailing Address - Country:US
Mailing Address - Phone:606-671-0029
Mailing Address - Fax:
Practice Address - Street 1:21154 US 421
Practice Address - Street 2:
Practice Address - City:HYDEN
Practice Address - State:KY
Practice Address - Zip Code:41749
Practice Address - Country:US
Practice Address - Phone:606-672-1208
Practice Address - Fax:606-672-1209
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-22
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X
KY289727101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No251B00000XAgenciesCase Management