Provider Demographics
NPI:1043981608
Name:STACKHOUSE, HELEN ELIZABETH (MASTERS)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:ELIZABETH
Last Name:STACKHOUSE
Suffix:
Gender:F
Credentials:MASTERS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2008 DAYBREAK CIR
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-9296
Mailing Address - Country:US
Mailing Address - Phone:717-317-4596
Mailing Address - Fax:
Practice Address - Street 1:2008 DAYBREAK CIR
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-9296
Practice Address - Country:US
Practice Address - Phone:717-317-4596
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-23
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor