Provider Demographics
NPI:1700335650
Name:HELMS, JEFFREY (LCMHC)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:
Last Name:HELMS
Suffix:
Gender:M
Credentials:LCMHC
Other - Prefix:
Other - First Name:JEFF
Other - Middle Name:
Other - Last Name:HELMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPCA
Mailing Address - Street 1:2608 CROYDON RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28209-1622
Mailing Address - Country:US
Mailing Address - Phone:321-217-6291
Mailing Address - Fax:
Practice Address - Street 1:2608 CROYDON RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28209-1622
Practice Address - Country:US
Practice Address - Phone:321-217-6291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-03
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA12531101YM0800X, 101Y00000X
NC12531101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor