Provider Demographics
NPI:1407563950
Name:HELGEVOLD, LANDI
Entity Type:Individual
Prefix:
First Name:LANDI
Middle Name:
Last Name:HELGEVOLD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 S SHELDON AVE UNIT 5
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50014-7274
Mailing Address - Country:US
Mailing Address - Phone:641-223-2798
Mailing Address - Fax:
Practice Address - Street 1:213 S SHELDON AVE UNIT 5
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50014-7274
Practice Address - Country:US
Practice Address - Phone:641-223-2798
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-03
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician