Provider Demographics
NPI:1396007365
Name:BRENES, HELLEN P
Entity Type:Individual
Prefix:MRS
First Name:HELLEN
Middle Name:P
Last Name:BRENES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3008 GILES PL
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32309-2114
Mailing Address - Country:US
Mailing Address - Phone:850-567-1147
Mailing Address - Fax:
Practice Address - Street 1:3008 GILES PL
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32309-2114
Practice Address - Country:US
Practice Address - Phone:850-567-1147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-14
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator