Basic Information
Provider Information
NPI: 1780279984
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HELINSKI
FirstName: LAUREN
MiddleName: I
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10 PINEWOOD AVE
Address2:  
City: BEVERLY
State: MA
PostalCode: 019152712
CountryCode: US
TelephoneNumber: 6035481151
FaxNumber:  
Practice Location
Address1: 599 NORTH AVE
Address2:  
City: WAKEFIELD
State: MA
PostalCode: 018801648
CountryCode: US
TelephoneNumber: 7813544500
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/09/2021
LastUpdateDate: 03/09/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/05/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103K00000X1-19-39594MAY Behavioral Health & Social Service ProvidersBehavioral Analyst 

No ID Information.


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