Provider Demographics
NPI:1942788781
Name:HELEN GLDEAN LLC
Entity Type:Organization
Organization Name:HELEN GLDEAN LLC
Other - Org Name:STONEBRIDGE COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LPC/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LBS
Authorized Official - Phone:484-393-1750
Mailing Address - Street 1:80 KLEYONA AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-2568
Mailing Address - Country:US
Mailing Address - Phone:484-393-1750
Mailing Address - Fax:
Practice Address - Street 1:80 KLEYONA AVE
Practice Address - Street 2:
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-2568
Practice Address - Country:US
Practice Address - Phone:484-393-1750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HELEN GL DEAN LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-08-03
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC008833101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty