Provider Demographics
NPI:1790674018
Name:TANIS, HELEN S I (MSW)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:S
Last Name:TANIS
Suffix:I
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:S
Other - Last Name:TANIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:1921 NORTHEAST 10TH AVE
Mailing Address - Street 2:APT 503
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-5034
Mailing Address - Country:US
Mailing Address - Phone:786-792-2182
Mailing Address - Fax:
Practice Address - Street 1:17501 SW 117TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-2272
Practice Address - Country:US
Practice Address - Phone:305-254-9759
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health