Provider Demographics
NPI:1720695554
Name:KATIE LYNN HELPLEY MARRIAGE & FAMILY THERAPIST PLLC
Entity type:Organization
Organization Name:KATIE LYNN HELPLEY MARRIAGE & FAMILY THERAPIST PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMFT
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HELPLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:845-859-0447
Mailing Address - Street 1:89 LUTHIEN FORREST RD
Mailing Address - Street 2:
Mailing Address - City:ROCK TAVERN
Mailing Address - State:NY
Mailing Address - Zip Code:12575-5566
Mailing Address - Country:US
Mailing Address - Phone:845-859-0447
Mailing Address - Fax:877-224-9708
Practice Address - Street 1:550 STONY BROOK CT STE 3
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-6557
Practice Address - Country:US
Practice Address - Phone:845-859-0447
Practice Address - Fax:877-224-9708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-25
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY001047OtherLICENSE