Provider Demographics
NPI:1992000558
Name:HELENE COHEN PSY. D., LLC
Entity Type:Organization
Organization Name:HELENE COHEN PSY. D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:DR
Authorized Official - First Name:HELENE
Authorized Official - Middle Name:
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D
Authorized Official - Phone:954-205-0729
Mailing Address - Street 1:10291 SWEET BAY ST
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-8272
Mailing Address - Country:US
Mailing Address - Phone:954-205-0729
Mailing Address - Fax:954-458-5031
Practice Address - Street 1:120 S UNIVERSITY DR
Practice Address - Street 2:SUITE A
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-3356
Practice Address - Country:US
Practice Address - Phone:954-205-0729
Practice Address - Fax:954-458-5031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-12
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY7668103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty