HELENA JEANETTE CLARK LPC NPI 1811312382

NPI Information

NPI: 1811312382
Provider Name: HELENA JEANETTE CLARK, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
400 COLUMBUS AVE
PATIENT ACCOUNTS
NEW HAVEN, CT
ZIP 06519
Phone: (203) 503-3174
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Helena Jeanette Clark, LPC is a professional counselor in New Haven, CT. Helena Jeanette Clark, LPC NPI is 1811312382. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

400 COLUMBUS AVE
PATIENT ACCOUNTS
NEW HAVEN, CT
ZIP 06519-233
Phone: (203) 503-3174
Fax: (203) 503-3183

The enumeration date for this NPI number is 2/20/2014 and was last updated on 11/10/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101Y00000X	Counselor		No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
3	101YM0800X	Counselor	Mental Health	No
4	101YP2500X	Counselor	Professional	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	004235918	MEDICAID	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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