Provider Demographics
NPI:1700645397
Name:HELTON, DESIRE' DAWN MICHELLE (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:DESIRE'
Middle Name:DAWN MICHELLE
Last Name:HELTON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MRS
Other - First Name:DESIRE'
Other - Middle Name:DAWN MICHELLE
Other - Last Name:HELTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:PO BOX 1880
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-1880
Mailing Address - Country:US
Mailing Address - Phone:843-779-8477
Mailing Address - Fax:843-705-7479
Practice Address - Street 1:102 RIBAUT RD
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29902-4453
Practice Address - Country:US
Practice Address - Phone:843-779-8477
Practice Address - Fax:843-705-7479
Is Sole Proprietor?:No
Enumeration Date:2024-03-15
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC14530104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker