Provider Demographics
NPI:1952083719
Name:HELTON, MICHAEL LYNN
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:LYNN
Last Name:HELTON
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 1:24478 PRINCE EDWARD HWY
Mailing Address - Street 2:
Mailing Address - City:RICE
Mailing Address - State:VA
Mailing Address - Zip Code:23966-2798
Mailing Address - Country:US
Mailing Address - Phone:434-392-9276
Mailing Address - Fax:434-392-1506
Practice Address - Street 1:24478 PRINCE EDWARD HWY
Practice Address - Street 2:
Practice Address - City:RICE
Practice Address - State:VA
Practice Address - Zip Code:23966-2798
Practice Address - Country:US
Practice Address - Phone:434-392-9276
Practice Address - Fax:434-392-1506
Is Sole Proprietor?:No
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0704014862101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor