Provider Demographics
NPI:1013678457
Name:HELDT, RACHEL JANEEN (SLP/CCC)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:JANEEN
Last Name:HELDT
Suffix:
Gender:F
Credentials:SLP/CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:941 COUNTY ROAD 4346
Mailing Address - Street 2:
Mailing Address - City:BIVINS
Mailing Address - State:TX
Mailing Address - Zip Code:75555-4059
Mailing Address - Country:US
Mailing Address - Phone:903-799-8309
Mailing Address - Fax:
Practice Address - Street 1:106 W MAIN ST
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:TX
Practice Address - Zip Code:75551-2519
Practice Address - Country:US
Practice Address - Phone:903-796-4194
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-07
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19252235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist