Provider Demographics
NPI:1699500256
Name:HELTON, ALICIA BETH (MS, CMHC, ST)
Entity type:Individual
Prefix:MISS
First Name:ALICIA
Middle Name:BETH
Last Name:HELTON
Suffix:
Gender:F
Credentials:MS, CMHC, ST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 DEAN RD
Mailing Address - Street 2:
Mailing Address - City:ARAGON
Mailing Address - State:GA
Mailing Address - Zip Code:30104-1628
Mailing Address - Country:US
Mailing Address - Phone:706-802-2111
Mailing Address - Fax:
Practice Address - Street 1:1899 LAKE RD STE 123
Practice Address - Street 2:
Practice Address - City:HIRAM
Practice Address - State:GA
Practice Address - Zip Code:30141-6006
Practice Address - Country:US
Practice Address - Phone:678-896-8959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health