Provider Demographics
NPI:1831312156
Name:PHILLIPS, HELENE K (LCPC)
Entity Type:Individual
Prefix:MS
First Name:HELENE
Middle Name:K
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7424 KALTON CT.
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-5830
Mailing Address - Country:US
Mailing Address - Phone:410-653-2594
Mailing Address - Fax:410-653-2594
Practice Address - Street 1:7424 KALTON CT.
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-5830
Practice Address - Country:US
Practice Address - Phone:410-653-2594
Practice Address - Fax:410-653-2594
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC0070101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health