Provider Demographics
NPI:1144844028
Name:HELMANDOLLAR, COLTEN E (MSW, LGSW)
Entity type:Individual
Prefix:
First Name:COLTEN
Middle Name:E
Last Name:HELMANDOLLAR
Suffix:
Gender:M
Credentials:MSW, LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:784 HINTON RD
Mailing Address - Street 2:
Mailing Address - City:WHITE OAK
Mailing Address - State:WV
Mailing Address - Zip Code:25989-9602
Mailing Address - Country:US
Mailing Address - Phone:304-906-0400
Mailing Address - Fax:
Practice Address - Street 1:101 S EISENHOWER DR
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-4929
Practice Address - Country:US
Practice Address - Phone:304-256-7100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-05
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVBP009456681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical