| Iain Halstead Llc | |
|
3855 Shallowford Rd Ste 420 Marietta GA 30062-4197 | |
| (678) 792-8677 | |
| (770) 993-8004 |
| Full Name | Iain Halstead Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3855 Shallowford Rd Ste 420, Marietta, Georgia |
| Authorized Official Name and Position | Ian James Halstead (DIRECTOR) |
| Authorized Official Contact | 6787928677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iain Halstead Llc 3855 Shallowford Rd Ste 420 Marietta GA 30062-4197 Ph: (678) 792-8677 | Iain Halstead Llc 3855 Shallowford Rd Ste 420 Marietta GA 30062-4197 Ph: (678) 792-8677 |
| NPI Number | 1396003331 |
|---|---|
| Provider Enumeration Date | 04/27/2012 |
| Last Update Date | 08/20/2021 |
| Certification Date | 08/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396003331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW003598 (Georgia) | Primary |
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