Provider Demographics
NPI:1811664808
Name:DONAGHY, HELENE V
Entity type:Individual
Prefix:
First Name:HELENE
Middle Name:V
Last Name:DONAGHY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3538 HIGH GATE AVE
Mailing Address - Street 2:
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914-4421
Mailing Address - Country:US
Mailing Address - Phone:215-285-2284
Mailing Address - Fax:
Practice Address - Street 1:3538 HIGH GATE AVE
Practice Address - Street 2:
Practice Address - City:CHALFONT
Practice Address - State:PA
Practice Address - Zip Code:18914-4421
Practice Address - Country:US
Practice Address - Phone:215-285-2284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH001287101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health