Healthcare Provider Details

I. General information

NPI: 1184578809
Provider Name (Legal Business Name): HELENA MARIA CORREIA PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2026
Last Update Date: 02/21/2026
Certification Date: 02/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

252 BROAD ST
RED BANK NJ
07701-2012
US

IV. Provider business mailing address

60 TOPAZ DR
FREEHOLD NJ
07728-8159
US

V. Phone/Fax

Practice location:
  • Phone: 732-861-6693
  • Fax:
Mailing address:
  • Phone: 732-861-6693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ15529500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: