Provider Demographics
NPI:1386893477
Name:KROLL, HELENE A (LMSW,CAADC)
Entity type:Individual
Prefix:
First Name:HELENE
Middle Name:A
Last Name:KROLL
Suffix:
Gender:F
Credentials:LMSW,CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:571 LONG LAKE PINE CT
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-1545
Mailing Address - Country:US
Mailing Address - Phone:248-342-2331
Mailing Address - Fax:248-569-9410
Practice Address - Street 1:571 LONG LAKE PINE CT
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-1545
Practice Address - Country:US
Practice Address - Phone:248-342-2331
Practice Address - Fax:248-569-9410
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-12
Last Update Date:2021-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010902201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical