Provider Demographics
NPI:1376551416
Name:BROWN, HELENE YVONNE (LICSW)
Entity Type:Individual
Prefix:MS
First Name:HELENE
Middle Name:YVONNE
Last Name:BROWN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:264 SANDPIPER LANE
Mailing Address - Street 2:#10
Mailing Address - City:VINEYARD HAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02568-6518
Mailing Address - Country:US
Mailing Address - Phone:508-696-1822
Mailing Address - Fax:508-696-1822
Practice Address - Street 1:264 SANDPIPER LANE
Practice Address - Street 2:#10
Practice Address - City:VINEYARD HAVEN
Practice Address - State:MA
Practice Address - Zip Code:02568-6518
Practice Address - Country:US
Practice Address - Phone:508-696-1822
Practice Address - Fax:508-696-1822
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2012-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT00789101YM0800X
MA107920101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health