Provider Demographics
NPI:1205963295
Name:HELEM, PAMELA JO (MHR, MHS)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:JO
Last Name:HELEM
Suffix:
Gender:F
Credentials:MHR, MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1202 ROGERS DR
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-6116
Mailing Address - Country:US
Mailing Address - Phone:402-339-7064
Mailing Address - Fax:402-933-2061
Practice Address - Street 1:3909 CUMING ST STE 202
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-1211
Practice Address - Country:US
Practice Address - Phone:402-933-2060
Practice Address - Fax:402-933-2061
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2008-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3248101YM0800X
NE40101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE3248Medicaid
NE40Medicaid