Provider Demographics
NPI:1740463934
Name:STEPHENSON, HELEN CHRISTINE (MA, MS, NCC LMHC)
Entity type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:CHRISTINE
Last Name:STEPHENSON
Suffix:
Gender:F
Credentials:MA, MS, NCC LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 CHILDRENS WAY
Mailing Address - Street 2:
Mailing Address - City:ENTERPRISE
Mailing Address - State:FL
Mailing Address - Zip Code:32725-8135
Mailing Address - Country:US
Mailing Address - Phone:386-668-4774
Mailing Address - Fax:386-668-0542
Practice Address - Street 1:51 CHILDRENS WAY
Practice Address - Street 2:
Practice Address - City:ENTERPRISE
Practice Address - State:FL
Practice Address - Zip Code:32725-8135
Practice Address - Country:US
Practice Address - Phone:386-668-4774
Practice Address - Fax:386-668-0542
Is Sole Proprietor?:No
Enumeration Date:2007-12-11
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 11069101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health