Provider Demographics
NPI:1891682084
Name:HELMER, KELLI R
Entity type:Individual
Prefix:
First Name:KELLI
Middle Name:R
Last Name:HELMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 S SEINE DR
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14227-3031
Mailing Address - Country:US
Mailing Address - Phone:716-997-3379
Mailing Address - Fax:
Practice Address - Street 1:104 S SEINE DR
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14227-3031
Practice Address - Country:US
Practice Address - Phone:716-997-3379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health