Provider Demographics
NPI:1699250852
Name:HELEN PARIS FOUNDATION LLC
Entity type:Organization
Organization Name:HELEN PARIS FOUNDATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECT OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:502-802-1662
Mailing Address - Street 1:626 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40217-1930
Mailing Address - Country:US
Mailing Address - Phone:502-802-1662
Mailing Address - Fax:
Practice Address - Street 1:626 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40217-1930
Practice Address - Country:US
Practice Address - Phone:502-802-1662
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-03
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty