Provider Demographics
NPI:1841526183
Name:HELDERMAN, IRA
Entity type:Individual
Prefix:
First Name:IRA
Middle Name:
Last Name:HELDERMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:729 DOVER RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-2664
Mailing Address - Country:US
Mailing Address - Phone:615-473-4815
Mailing Address - Fax:
Practice Address - Street 1:110 21ST AVE S
Practice Address - Street 2:1120 BAKER BUILDING
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2416
Practice Address - Country:US
Practice Address - Phone:615-322-2571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-21
Last Update Date:2009-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2190101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional