Provider Demographics
NPI:1184095846
Name:HELMER, JADA
Entity type:Individual
Prefix:
First Name:JADA
Middle Name:
Last Name:HELMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7855 ARGYLE FOREST BLVD STE 404
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32244-7702
Mailing Address - Country:US
Mailing Address - Phone:904-250-0830
Mailing Address - Fax:
Practice Address - Street 1:7855 ARGYLE FOREST BLVD STE 404
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32244-7702
Practice Address - Country:US
Practice Address - Phone:904-250-0830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-07
Last Update Date:2021-07-07
Deactivation Date:2019-09-11
Deactivation Code:
Reactivation Date:2019-10-10
Provider Licenses
StateLicense IDTaxonomies
FL15633101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health