Provider Demographics
NPI:1376861278
Name:RICHARD, HELENA L (FPMHNP)
Entity Type:Individual
Prefix:MISS
First Name:HELENA
Middle Name:L
Last Name:RICHARD
Suffix:
Gender:F
Credentials:FPMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 JEFFERSON DR
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-6115
Mailing Address - Country:US
Mailing Address - Phone:985-870-8780
Mailing Address - Fax:985-868-9291
Practice Address - Street 1:307 JEFFERSON DR
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-6115
Practice Address - Country:US
Practice Address - Phone:985-870-8780
Practice Address - Fax:985-868-9291
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-17
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LATAP002282363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health