Provider Demographics
NPI:1346984879
Name:MOORE, HELEN JANE (BA)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:JANE
Last Name:MOORE
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:JANE
Other - Last Name:MULLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:711 BREEZEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-4910
Mailing Address - Country:US
Mailing Address - Phone:717-713-9265
Mailing Address - Fax:
Practice Address - Street 1:3433 TRINDLE RD
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-4434
Practice Address - Country:US
Practice Address - Phone:717-761-4500
Practice Address - Fax:717-761-4554
Is Sole Proprietor?:No
Enumeration Date:2022-04-21
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)