Penza, Helene

Penza, Helene is an individual health care provider with primary practice located at 150 High Service Avenue , North Providence RI 02911-3020. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Penza, Helene can be contacted via phone (401) 354-4318.

Contact Information

Primary practice address
150 High Service Avenue North Providence RI 02911-3020
Fax: (401) 354-0018
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MHC00012 Rhode Island

Profile Details

NPI number 1164448205
LBN Legal business name Penza, Helene
Credentials MA CAGS ACS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164448205 NPPES
Rhode Island Other 71372 BC
Rhode Island Other 6254338 BC

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