Provider Demographics
NPI:1457739948
Name:HELEIN, AMY (NAC, LPCIT)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:HELEIN
Suffix:
Gender:F
Credentials:NAC, LPCIT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2920 S WEBSTER AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54301-1594
Mailing Address - Country:US
Mailing Address - Phone:920-632-4471
Mailing Address - Fax:920-632-4315
Practice Address - Street 1:2920 S WEBSTER AVE
Practice Address - Street 2:SUITE B
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54301-1594
Practice Address - Country:US
Practice Address - Phone:920-632-4471
Practice Address - Fax:920-632-4315
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-15
Last Update Date:2015-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health