Provider Demographics
NPI:1528072469
Name:COFFEY, HELENA (AA,CCSP, CIT,)
Entity type:Individual
Prefix:
First Name:HELENA
Middle Name:
Last Name:COFFEY
Suffix:
Gender:F
Credentials:AA,CCSP, CIT,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 ELMWOOD AVENUE
Mailing Address - Street 2:KENTHOUSE INC
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02888
Mailing Address - Country:US
Mailing Address - Phone:508-265-2658
Mailing Address - Fax:
Practice Address - Street 1:2020 ELMWOOD AVENUE
Practice Address - Street 2:KENTHOUSE INC
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02888
Practice Address - Country:US
Practice Address - Phone:508-265-2658
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)