Provider Demographics
NPI:1205533882
Name:MONTAQUE, HELENA (PHD, LMFT)
Entity type:Individual
Prefix:
First Name:HELENA
Middle Name:
Last Name:MONTAQUE
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:HELENA
Other - Middle Name:DANIELLE
Other - Last Name:GREEN MONTAQUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:60 FREEDOM DR
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-2635
Mailing Address - Country:US
Mailing Address - Phone:302-632-2046
Mailing Address - Fax:
Practice Address - Street 1:735 MAPLETON AVE STE 200
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-1560
Practice Address - Country:US
Practice Address - Phone:302-224-1400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-14
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1732106H00000X
DEFT-0010144106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist