Provider Demographics
NPI:1770650897
Name:PARISH, HELENA MARIE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:HELENA
Middle Name:MARIE
Last Name:PARISH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3485 STATE ROUTE 37
Mailing Address - Street 2:
Mailing Address - City:CONSTABLE
Mailing Address - State:NY
Mailing Address - Zip Code:12926-2203
Mailing Address - Country:US
Mailing Address - Phone:518-358-2876
Mailing Address - Fax:
Practice Address - Street 1:1 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:MASSENA
Practice Address - State:NY
Practice Address - Zip Code:13662-1056
Practice Address - Country:US
Practice Address - Phone:315-764-1711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2010-10-28
Deactivation Date:2008-05-20
Deactivation Code:
Reactivation Date:2010-10-28
Provider Licenses
StateLicense IDTaxonomies
NY0620371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical