Basic Information
| Provider Information | |||||||||
| NPI: | 1063460418 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HELFRICH | ||||||||
| FirstName: | SARA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | LMHC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6921 DAWNTREE CT | ||||||||
| Address2: | |||||||||
| City: | LAKE WORTH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334677300 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5619673584 | ||||||||
| FaxNumber: | 5618289272 | ||||||||
| Practice Location | |||||||||
| Address1: | 4605 COMMUNITY DR | ||||||||
| Address2: | |||||||||
| City: | WEST PALM BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334172716 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5616841991 | ||||||||
| FaxNumber: | 5618289272 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/05/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | MH4388 | FL | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
ID Information
| ID | Type | State | Issuer | Description | Z001V | 01 | FL | BCBS PROVIDER NUMBER | OTHER |