Provider Demographics
NPI:1821893892
Name:GALICIA, HELEN NICOLE FELT (CSW)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:NICOLE FELT
Last Name:GALICIA
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3651 N 100 E STE 300
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604-4521
Mailing Address - Country:US
Mailing Address - Phone:385-216-9612
Mailing Address - Fax:
Practice Address - Street 1:3651 N 100 E STE 300
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-4521
Practice Address - Country:US
Practice Address - Phone:385-216-9612
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-14
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13436070-3502101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty