Provider Demographics
NPI:1588104004
Name:ELLEN HELMAN
Entity type:Organization
Organization Name:ELLEN HELMAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOANALYST
Authorized Official - Prefix:MS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:305-297-9878
Mailing Address - Street 1:5201 LAGORCE DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2105
Mailing Address - Country:US
Mailing Address - Phone:305-297-9878
Mailing Address - Fax:
Practice Address - Street 1:5201 LAGORCE DR
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2105
Practice Address - Country:US
Practice Address - Phone:305-297-9878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-02
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW3470261QM0850X
MALICSW102609261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health