Provider Demographics
NPI:1992055958
Name:HELIE, KELLEY NICOLE (MA EDS)
Entity type:Individual
Prefix:MS
First Name:KELLEY
Middle Name:NICOLE
Last Name:HELIE
Suffix:
Gender:F
Credentials:MA EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 SPRUCE AVENUE
Mailing Address - Street 2:RED CLAY CONSOLIDATED SCHOOL DISTRICT
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805
Mailing Address - Country:US
Mailing Address - Phone:302-552-3797
Mailing Address - Fax:
Practice Address - Street 1:1500 SPRUCE AVE
Practice Address - Street 2:RED CLAY CONSOLIDATED SCHOOL DISTRICT
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-2148
Practice Address - Country:US
Practice Address - Phone:302-552-3797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-17
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE63927103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool