Provider Demographics
NPI:1588115505
Name:HELM, ELIZABETH FRANCES (EDS, NCSP)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:FRANCES
Last Name:HELM
Suffix:
Gender:F
Credentials:EDS, NCSP
Other - Prefix:MISS
Other - First Name:ELIZABETH
Other - Middle Name:FRANCES
Other - Last Name:TAMULEWICZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:EDS, NCSP
Mailing Address - Street 1:11960 WESTLINE INDUSTRIAL DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63146-3209
Mailing Address - Country:US
Mailing Address - Phone:866-433-9555
Mailing Address - Fax:314-275-7444
Practice Address - Street 1:11960 WESTLINE INDUSTRIAL DR
Practice Address - Street 2:SUITE 201
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63146-3209
Practice Address - Country:US
Practice Address - Phone:866-433-9555
Practice Address - Fax:314-275-7444
Is Sole Proprietor?:No
Enumeration Date:2016-10-14
Last Update Date:2016-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO598320103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO598320OtherEDUCATOR'S CERTIFICATE-INITIAL STUDENT SERVICES