Provider Demographics
NPI:1194575720
Name:HELLEN, ADEVIA ELVIRA (LPC)
Entity type:Individual
Prefix:
First Name:ADEVIA
Middle Name:ELVIRA
Last Name:HELLEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ADEVIA
Other - Middle Name:ELVIRA
Other - Last Name:PORTER-HELLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14587 EARLHAM CT
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-2757
Mailing Address - Country:US
Mailing Address - Phone:703-786-0970
Mailing Address - Fax:
Practice Address - Street 1:7969 ASHTON AVE
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-2885
Practice Address - Country:US
Practice Address - Phone:703-792-7800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-26
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0710102734101YA0400X
VA0701013241101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)