Provider Demographics
NPI:1265503627
Name:BERNARD, HELAINE SEELIG (MENTAL HEALTH CO)
Entity Type:Individual
Prefix:MS
First Name:HELAINE
Middle Name:SEELIG
Last Name:BERNARD
Suffix:
Gender:F
Credentials:MENTAL HEALTH CO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11020 71ST RD
Mailing Address - Street 2:APT#210
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-4945
Mailing Address - Country:US
Mailing Address - Phone:718-896-2248
Mailing Address - Fax:
Practice Address - Street 1:11020 71ST RD
Practice Address - Street 2:APT#210
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4945
Practice Address - Country:US
Practice Address - Phone:718-896-2248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002476101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health