Provider Demographics
NPI:1144783523
Name:CORROON ROBINSON, HELEN HOLLY
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:HOLLY
Last Name:CORROON ROBINSON
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 1:25 LEWIS ST
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-5537
Mailing Address - Country:US
Mailing Address - Phone:203-242-1147
Mailing Address - Fax:
Practice Address - Street 1:25 LEWIS ST
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-5537
Practice Address - Country:US
Practice Address - Phone:203-242-1147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-11
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT3716101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional