Provider Demographics
NPI:1013248194
Name:HELTON, HEATHER BRADEN (BS, MA)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:BRADEN
Last Name:HELTON
Suffix:
Gender:F
Credentials:BS, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 ARMUCHEE TRL NE
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30165-6424
Mailing Address - Country:US
Mailing Address - Phone:706-235-3032
Mailing Address - Fax:
Practice Address - Street 1:303 ARMUCHEE TRL NE
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30165-6424
Practice Address - Country:US
Practice Address - Phone:706-235-3032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-29
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA415589674AMedicaid