Provider Demographics
NPI:1972772515
Name:HELLMAN, LORY BETH (LPCC)
Entity type:Individual
Prefix:
First Name:LORY
Middle Name:BETH
Last Name:HELLMAN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:LORY
Other - Middle Name:BETH
Other - Last Name:LARKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPCC
Mailing Address - Street 1:1237 W DIVIDE AVE
Mailing Address - Street 2:STE 5
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501-1208
Mailing Address - Country:US
Mailing Address - Phone:701-328-8746
Mailing Address - Fax:701-328-8900
Practice Address - Street 1:1237 W DIVIDE AVE
Practice Address - Street 2:STE 5
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-1208
Practice Address - Country:US
Practice Address - Phone:701-328-8746
Practice Address - Fax:701-328-8900
Is Sole Proprietor?:No
Enumeration Date:2008-02-28
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND601-2-15-08-199101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional