Provider Demographics
NPI:1366996878
Name:HELIOTIS, DAVID THANOS (LPCC)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:THANOS
Last Name:HELIOTIS
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1082 61ST ST APT 3
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94608-2343
Mailing Address - Country:US
Mailing Address - Phone:908-208-1273
Mailing Address - Fax:
Practice Address - Street 1:1082 61ST ST APT 3
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94608-2343
Practice Address - Country:US
Practice Address - Phone:510-761-8451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-12
Last Update Date:2023-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12999101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health