Provider Demographics
NPI:1871849653
Name:JOHNSON, HELENA ALEXIS (LMFT-2014)
Entity type:Individual
Prefix:MS
First Name:HELENA
Middle Name:ALEXIS
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:LMFT-2014
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5114 THORNTON KNOLL WAY
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-8045
Mailing Address - Country:US
Mailing Address - Phone:814-659-2285
Mailing Address - Fax:
Practice Address - Street 1:5114 THORNTON KNOLL WAY
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-8045
Practice Address - Country:US
Practice Address - Phone:814-659-2285
Practice Address - Fax:984-231-2925
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-30
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist