Provider Demographics
NPI:1245291681
Name:PALMER, HELEN LOUISE (LMHC)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:LOUISE
Last Name:PALMER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5118 WAUCHULA RD
Mailing Address - Street 2:
Mailing Address - City:MYAKKA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:34251-9217
Mailing Address - Country:US
Mailing Address - Phone:941-227-3045
Mailing Address - Fax:
Practice Address - Street 1:5118 WAUCHULA RD
Practice Address - Street 2:
Practice Address - City:MYAKKA CITY
Practice Address - State:FL
Practice Address - Zip Code:34251-9217
Practice Address - Country:US
Practice Address - Phone:941-227-3045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-28
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12954272-6004101YP2500X
FLMH4940101YP2500X
FLMH 4940101YM0800X
MECC6814101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health