Provider Demographics
NPI:1508945346
Name:CHADA, HELENA (LPC)
Entity Type:Individual
Prefix:MS
First Name:HELENA
Middle Name:
Last Name:CHADA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 JUNIPER RD
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06853-1615
Mailing Address - Country:US
Mailing Address - Phone:203-216-0578
Mailing Address - Fax:203-354-3680
Practice Address - Street 1:188 NORTH ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06901-1110
Practice Address - Country:US
Practice Address - Phone:203-216-0578
Practice Address - Fax:203-354-3680
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001368101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health