Provider Demographics
NPI:1821235565
Name:ROBERTS, HELEN E (MSE, LMHC, LPC, CCMC)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:E
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:MSE, LMHC, LPC, CCMC
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:E
Other - Last Name:MCDERMONT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:212 SE SABLE LN
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32025-1845
Mailing Address - Country:US
Mailing Address - Phone:941-631-6823
Mailing Address - Fax:
Practice Address - Street 1:212 SE SABLE LN
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32025-1845
Practice Address - Country:US
Practice Address - Phone:941-363-1682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-16
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001096101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA001096OtherLMHC
MI6401015350OtherLPC
WI3261-125OtherLPC
FLMH16215OtherLMHC
IL180008398OtherLCPC