Healthcare Provider Details

I. General information

NPI: 1124865696
Provider Name (Legal Business Name): HELENA KEMP PARKS PLPC, PLMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HELENA KEMP

II. Dates (important events)

Enumeration Date: 07/11/2024
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

622 RIVERSIDE DR
MONROE LA
71201-6211
US

IV. Provider business mailing address

622 RIVERSIDE DR
MONROE LA
71201-6211
US

V. Phone/Fax

Practice location:
  • Phone: 318-361-4482
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License NumberPLM1516
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberPLM1516
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: