Provider Demographics
NPI:1326137837
Name:THEOHARIS, HELENA ALEXIA (MA)
Entity type:Individual
Prefix:MS
First Name:HELENA
Middle Name:ALEXIA
Last Name:THEOHARIS
Suffix:
Gender:
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 SASSAFRAS VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:SWANNANOA
Mailing Address - State:NC
Mailing Address - Zip Code:28778-6102
Mailing Address - Country:US
Mailing Address - Phone:978-921-1190
Mailing Address - Fax:978-927-3724
Practice Address - Street 1:78 SASSAFRAS VALLEY RD
Practice Address - Street 2:
Practice Address - City:SWANNANOA
Practice Address - State:NC
Practice Address - Zip Code:28778-6102
Practice Address - Country:US
Practice Address - Phone:978-578-4386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NC12003101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health