Provider Demographics
NPI:1730241332
Name:HELBERT, KARLA (LPC)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:HELBERT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2422 KENMORE RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23228-5924
Mailing Address - Country:US
Mailing Address - Phone:804-353-6525
Mailing Address - Fax:
Practice Address - Street 1:3900 MONUMENT AVE
Practice Address - Street 2:SUITE F
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-3955
Practice Address - Country:US
Practice Address - Phone:804-892-2782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004052101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0701004052Medicaid