Provider Demographics
NPI:1447319769
Name:HOUSTON, HELENE M (MS,RN,CS)
Entity type:Individual
Prefix:MRS
First Name:HELENE
Middle Name:M
Last Name:HOUSTON
Suffix:
Gender:F
Credentials:MS,RN,CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 DWIGHT RD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01106-1761
Mailing Address - Country:US
Mailing Address - Phone:413-567-9993
Mailing Address - Fax:
Practice Address - Street 1:175 DWIGHT RD
Practice Address - Street 2:SUITE 303
Practice Address - City:LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01106-1761
Practice Address - Country:US
Practice Address - Phone:413-567-9993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2009-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA98903PC364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAPN0656OtherBLUE CROSS
MA1858548Medicaid
MA32015OtherHEALTH NEW ENGLAND
MA098903OtherTUFTS
MA1858548Medicaid
MA584906Medicare UPIN