Provider Demographics
NPI:1467164640
Name:THOMAS, HELEN EUNIQUE
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:EUNIQUE
Last Name:THOMAS
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 1:1301 E GROVE AVE
Mailing Address - Street 2:UNIT B7
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-6129
Mailing Address - Country:US
Mailing Address - Phone:702-980-6212
Mailing Address - Fax:
Practice Address - Street 1:1301 E GROVE AVE
Practice Address - Street 2:UNIT B7
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-6129
Practice Address - Country:US
Practice Address - Phone:702-980-6212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician