Provider Demographics
NPI:1619939733
Name:ROLLINS, HELENE M (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:HELENE
Middle Name:M
Last Name:ROLLINS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15427 S 36TH PL
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-6603
Mailing Address - Country:US
Mailing Address - Phone:480-759-8777
Mailing Address - Fax:
Practice Address - Street 1:424 E. SOUTHERN AVE.
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-5216
Practice Address - Country:US
Practice Address - Phone:480-921-0101
Practice Address - Fax:480-921-0153
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-01801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical