Provider Demographics
NPI:1215668082
Name:HALSTEAD, STEVEN LLOYD (LPCC-S)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:LLOYD
Last Name:HALSTEAD
Suffix:
Gender:M
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 TOM TAYLOR RD
Mailing Address - Street 2:
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40701-8876
Mailing Address - Country:US
Mailing Address - Phone:606-521-2682
Mailing Address - Fax:
Practice Address - Street 1:65 CENTER AVE
Practice Address - Street 2:
Practice Address - City:WHITLEY CITY
Practice Address - State:KY
Practice Address - Zip Code:42653-4380
Practice Address - Country:US
Practice Address - Phone:606-521-2682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-22
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY105671101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor