Provider Demographics
NPI:1336810084
Name:HELTSLEY, NATHANIEL (LCSW)
Entity Type:Individual
Prefix:MR
First Name:NATHANIEL
Middle Name:
Last Name:HELTSLEY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5966 SCOTTSVILLE RD STE 3
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42104-7908
Mailing Address - Country:US
Mailing Address - Phone:270-904-5104
Mailing Address - Fax:270-201-5980
Practice Address - Street 1:661 31W BYPASS
Practice Address - Street 2:SUITE G
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42104-4968
Practice Address - Country:US
Practice Address - Phone:364-203-9250
Practice Address - Fax:270-713-0007
Is Sole Proprietor?:No
Enumeration Date:2021-09-22
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY265425101YA0400X
KY2582071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)