Provider Demographics
NPI:1043368285
Name:STEPHENS, HELENA FRANCES
Entity Type:Individual
Prefix:MRS
First Name:HELENA
Middle Name:FRANCES
Last Name:STEPHENS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2551 LOVETTE RD
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28358-8369
Mailing Address - Country:US
Mailing Address - Phone:910-272-8435
Mailing Address - Fax:910-272-8435
Practice Address - Street 1:2551 LOVETTE RD
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-8369
Practice Address - Country:US
Practice Address - Phone:910-272-8435
Practice Address - Fax:910-272-8435
Is Sole Proprietor?:No
Enumeration Date:2007-01-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL078177101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7805472OtherPROVIDER NUMBER