Provider Demographics
NPI:1831922533
Name:EARLS, HELENA
Entity type:Individual
Prefix:
First Name:HELENA
Middle Name:
Last Name:EARLS
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 1:45 LUKE ST
Mailing Address - Street 2:
Mailing Address - City:WRENTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02093-1809
Mailing Address - Country:US
Mailing Address - Phone:774-210-0491
Mailing Address - Fax:
Practice Address - Street 1:45 LUKE ST
Practice Address - Street 2:
Practice Address - City:WRENTHAM
Practice Address - State:MA
Practice Address - Zip Code:02093-1809
Practice Address - Country:US
Practice Address - Phone:774-210-0491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health