Provider Demographics
NPI:1942896089
Name:WILSON, HELEN S (LPC)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:S
Last Name:WILSON
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 1:3145 CAMDEN WAY
Mailing Address - Street 2:
Mailing Address - City:GRANITEVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29829-3777
Mailing Address - Country:US
Mailing Address - Phone:803-450-4459
Mailing Address - Fax:803-859-9031
Practice Address - Street 1:509 BELVEDERE CLEARWATER RD STE H
Practice Address - Street 2:
Practice Address - City:BELVEDERE
Practice Address - State:SC
Practice Address - Zip Code:29841-2592
Practice Address - Country:US
Practice Address - Phone:803-450-4459
Practice Address - Fax:803-859-9031
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-13
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA015793101YP2500X
SC8783101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional