Basic Information
| Provider Information | |||||||||
| NPI: | 1013595321 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | UNHOCH | ||||||||
| FirstName: | HELENA | ||||||||
| MiddleName: | LEE | ||||||||
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| Credential: | LMHPE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 533 HIDDEN FARM DR | ||||||||
| Address2: | |||||||||
| City: | MINERAL | ||||||||
| State: | VA | ||||||||
| PostalCode: | 231174159 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2767680216 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1445 RIO RD E STE 104 | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTESVILLE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 229011751 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8008056989 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/30/2021 | ||||||||
| LastUpdateDate: | 03/30/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/30/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 0704013183 | VA | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.