Provider Demographics
NPI:1821045220
Name:GUESS-GOLDSMITH, HELENE
Entity Type:Individual
Prefix:MS
First Name:HELENE
Middle Name:
Last Name:GUESS-GOLDSMITH
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:HELENE
Other - Middle Name:
Other - Last Name:GUESS-GOLDSMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1425 GUESS RD
Mailing Address - Street 2:
Mailing Address - City:PINEWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29125-8629
Mailing Address - Country:US
Mailing Address - Phone:803-840-0477
Mailing Address - Fax:803-717-2575
Practice Address - Street 1:1425 GUESS RD
Practice Address - Street 2:
Practice Address - City:PINEWOOD
Practice Address - State:SC
Practice Address - Zip Code:29125-8629
Practice Address - Country:US
Practice Address - Phone:803-840-0477
Practice Address - Fax:803-717-2575
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-30
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
SC5101101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health