1275579773 NPI number — HELPNET EAP & COUNSELING SERVICES

Table of content: DR. JENNIFER RACHEL LEE PHARMD, BCPP (NPI 1083870141)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275579773 NPI number — HELPNET EAP & COUNSELING SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HELPNET EAP & COUNSELING SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275579773
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5340 HOLIDAY TER
Provider Second Line Business Mailing Address:
HELPNET SUITE
Provider Business Mailing Address City Name:
KALAMAZOO
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
49009-2196
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
269-372-4500
Provider Business Mailing Address Fax Number:
269-372-7230

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5340 HOLIDAY TER
Provider Second Line Business Practice Location Address:
HELPNET SUITE
Provider Business Practice Location Address City Name:
KALAMAZOO
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49009-2196
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
269-372-4500
Provider Business Practice Location Address Fax Number:
269-372-7230
Provider Enumeration Date:
06/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
PERSENAIRE
Authorized Official First Name:
ADRIANA
Authorized Official Middle Name:
Authorized Official Title or Position:
CLINICAL COORDINATOR
Authorized Official Telephone Number:
269-372-4500

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  6801060135 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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