Organization Name: | IAIN HALSTEAD LLC |
NPI Number: | 1396003331 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | IAN HALSTEAD (OWNER) |
Mailing Address: | 1011 Woodridge Ln Suite 201 Watkinsville |
State: | GA US |
Postal Code: | 306776077 |
Phone Number: | 7067153414 |
Fax Number: | |
NPI Enumeration Date: | 04/27/2012 |
NPI Last Update Date: | 07/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CSW003598 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |