Provider Demographics
NPI:1245001064
Name:HELT, CAROLYN DIANE
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:DIANE
Last Name:HELT
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 1:3603 W HILLSDALE AVE APT 88C
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-5625
Mailing Address - Country:US
Mailing Address - Phone:559-942-0416
Mailing Address - Fax:
Practice Address - Street 1:1798 BRYMAN ST
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-7144
Practice Address - Country:US
Practice Address - Phone:559-942-0416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-10
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA88404101YM0800X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health