Provider Demographics
NPI:1801128350
Name:HELMS, CRYSTAL GAIL RANSOM (LMSW)
Entity type:Individual
Prefix:MRS
First Name:CRYSTAL
Middle Name:GAIL RANSOM
Last Name:HELMS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 TNT HILL DR
Mailing Address - Street 2:
Mailing Address - City:GRAYLING
Mailing Address - State:MI
Mailing Address - Zip Code:49738
Mailing Address - Country:US
Mailing Address - Phone:989-348-0009
Mailing Address - Fax:989-348-6434
Practice Address - Street 1:78 TNT HILL DR
Practice Address - Street 2:
Practice Address - City:GRAYLING
Practice Address - State:MI
Practice Address - Zip Code:49738-6796
Practice Address - Country:US
Practice Address - Phone:989-348-0009
Practice Address - Fax:989-348-6434
Is Sole Proprietor?:No
Enumeration Date:2010-02-09
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801090578104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker