Provider Demographics
NPI:1427487867
Name:HALBACK & ASSOCIATES
Entity type:Organization
Organization Name:HALBACK & ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:HALBACK
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:202-413-0531
Mailing Address - Street 1:4844 QUEENS CHAPEL TER NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-3139
Mailing Address - Country:US
Mailing Address - Phone:202-413-0531
Mailing Address - Fax:
Practice Address - Street 1:4844 QUEENS CHAPEL TER NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-3139
Practice Address - Country:US
Practice Address - Phone:202-413-0531
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-06
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500785151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty