Provider Demographics
NPI:1558103408
Name:BIRK, HELEN (LCPC-C)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:BIRK
Suffix:
Gender:F
Credentials:LCPC-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 SKIDMORE RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:ME
Mailing Address - Zip Code:04574-3429
Mailing Address - Country:US
Mailing Address - Phone:207-691-6740
Mailing Address - Fax:
Practice Address - Street 1:1 CONSTELLATION WAY STE 101
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04105-2256
Practice Address - Country:US
Practice Address - Phone:207-956-5977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-11
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC7563101YP2500X
MEXL6689101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health