Provider Demographics
NPI:1841448107
Name:MARTIN, HELENE DIONNE (LMSW)
Entity type:Individual
Prefix:MRS
First Name:HELENE
Middle Name:DIONNE
Last Name:MARTIN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13808 VIRGINIA ST
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39565-6931
Mailing Address - Country:US
Mailing Address - Phone:228-223-6734
Mailing Address - Fax:
Practice Address - Street 1:282 LAMEUSE ST
Practice Address - Street 2:
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39530-3108
Practice Address - Country:US
Practice Address - Phone:228-234-5534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-28
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSM4188104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker