Basic Information
| Provider Information | |||||||||
| NPI: | 1578943098 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HELMES | ||||||||
| FirstName: | KAREN | ||||||||
| MiddleName: | |||||||||
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| Credential: | MA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 401 N MAIN ST APT 151A | ||||||||
| Address2: | |||||||||
| City: | WILLIAMSTOWN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080941454 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8568856487 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 42 DELSEA DRIVE | ||||||||
| Address2: | |||||||||
| City: | GLASSBORO | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 08028 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8568818689 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/01/2015 | ||||||||
| LastUpdateDate: | 06/01/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 101YP2500X | NJ | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health | 101YM0800X | 37AC00251800 | NJ | N | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.