Provider Demographics
NPI:1851885610
Name:HELLER, TESS (LPC, ICAADC, MT-BC)
Entity Type:Individual
Prefix:
First Name:TESS
Middle Name:
Last Name:HELLER
Suffix:
Gender:F
Credentials:LPC, ICAADC, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 W CARACAS AVE
Mailing Address - Street 2:
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-1617
Mailing Address - Country:US
Mailing Address - Phone:262-903-3979
Mailing Address - Fax:
Practice Address - Street 1:475 W GOVERNOR RD STE 2
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-2217
Practice Address - Country:US
Practice Address - Phone:431-071-7204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-15
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor