Provider Demographics
NPI:1548811524
Name:ERCOLINO, HELEN ROSE (LPC, RPT-S)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:ROSE
Last Name:ERCOLINO
Suffix:
Gender:F
Credentials:LPC, RPT-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:734 JACQUES CIR
Mailing Address - Street 2:
Mailing Address - City:CHESTER SPRINGS
Mailing Address - State:PA
Mailing Address - Zip Code:19425-2128
Mailing Address - Country:US
Mailing Address - Phone:267-716-7977
Mailing Address - Fax:
Practice Address - Street 1:516 E LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-2723
Practice Address - Country:US
Practice Address - Phone:267-716-7977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-22
Last Update Date:2019-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006562101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health