Basic Information
Provider Information
NPI: 1043697626
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MENSAH
FirstName: HELENA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: B.S. PSYCHOLOGY
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1655 PALM BEACH LAKES BLVD
Address2: SUITE 600
City: WEST PALM BEACH
State: FL
PostalCode: 334012225
CountryCode: US
TelephoneNumber: 5612424368
FaxNumber:  
Practice Location
Address1: 1655 PALM BEACH LAKES BLVD
Address2: SUITE 600
City: WEST PALM BEACH
State: FL
PostalCode: 334012225
CountryCode: US
TelephoneNumber: 5614711688
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/02/2015
LastUpdateDate: 09/22/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
171M00000X  Y Other Service ProvidersCase Manager/Care Coordinator 

No ID Information.


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