Provider Demographics
NPI:1235812934
Name:YOUNG, HELENA ROBINSON (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:HELENA
Middle Name:ROBINSON
Last Name:YOUNG
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MISS
Other - First Name:HELENA
Other - Middle Name:J
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1720 CONG W L DICKINSON DR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36109-2602
Mailing Address - Country:US
Mailing Address - Phone:334-450-0663
Mailing Address - Fax:
Practice Address - Street 1:1720 CONG W L DICKINSON DR
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36109-2602
Practice Address - Country:US
Practice Address - Phone:334-450-0663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-09
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1424C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical