Provider Demographics
NPI:1306117536
Name:WAYNE, HELEN (LCSW)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:WAYNE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7900 PRESTON DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72209-6150
Mailing Address - Country:US
Mailing Address - Phone:501-570-7662
Mailing Address - Fax:501-244-0359
Practice Address - Street 1:1202 W 6TH ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72201-3020
Practice Address - Country:US
Practice Address - Phone:501-244-0062
Practice Address - Fax:501-244-0359
Is Sole Proprietor?:No
Enumeration Date:2012-01-19
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2228-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical