Provider Demographics
NPI:1790920460
Name:PRINCE, HELEN SUZANNE (LPC)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:SUZANNE
Last Name:PRINCE
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 1:149 PUBLIC SQ
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37087-2736
Mailing Address - Country:US
Mailing Address - Phone:615-504-9510
Mailing Address - Fax:
Practice Address - Street 1:149 PUBLIC SQ
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37087-2736
Practice Address - Country:US
Practice Address - Phone:615-504-9510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-10
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00934101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor