Provider Demographics
NPI:1265740088
Name:GRZESKIEWICZ, HELEN CHRISTINA (LCP)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:CHRISTINA
Last Name:GRZESKIEWICZ
Suffix:
Gender:F
Credentials:LCP
Other - Prefix:
Other - First Name:TINA
Other - Middle Name:
Other - Last Name:GRZESKIEWICZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCP, LCAC
Mailing Address - Street 1:2420 N WOODLAWN BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67220-3960
Mailing Address - Country:US
Mailing Address - Phone:316-347-7157
Mailing Address - Fax:316-247-9582
Practice Address - Street 1:2420 N WOODLAWN BLVD
Practice Address - Street 2:BLDG 300
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67220-3960
Practice Address - Country:US
Practice Address - Phone:316-347-7157
Practice Address - Fax:316-247-9528
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-14
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1497103T00000X
KS2753103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist