Provider Demographics
NPI:1689709776
Name:HELLEN, RENEE S (LMHC)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:S
Last Name:HELLEN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2347 FAIRFIELD CT
Mailing Address - Street 2:
Mailing Address - City:FLEMING ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32003-7760
Mailing Address - Country:US
Mailing Address - Phone:904-589-1665
Mailing Address - Fax:
Practice Address - Street 1:2347 FAIRFIELD CT
Practice Address - Street 2:
Practice Address - City:FLEMING ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32003-7760
Practice Address - Country:US
Practice Address - Phone:904-589-1665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2616101YA0400X
FLMH10660101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2616OtherC.A.P.
FL2616OtherC.A.P.