Provider Demographics
NPI:1881792323
Name:HELMS, MICHAEL GARRETT (LISW-CP)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:GARRETT
Last Name:HELMS
Suffix:
Gender:M
Credentials:LISW-CP
Other - Prefix:
Other - First Name:M
Other - Middle Name:GARRETT
Other - Last Name:HELMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LISW-CPS
Mailing Address - Street 1:PO BOX 743904
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-3904
Mailing Address - Country:US
Mailing Address - Phone:803-296-7320
Mailing Address - Fax:803-296-7330
Practice Address - Street 1:3209 COLONIAL DRIVE
Practice Address - Street 2:UNIVERSITY SPECIALTY CLINICS-DEPT. OF FAMILY & PREVENTI
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203
Practice Address - Country:US
Practice Address - Phone:803-434-2498
Practice Address - Fax:803-434-7529
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0056121041C0700X
SC56121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCQ328222353OtherMEDICARE PTAN
SCSW1021Medicaid