Provider Demographics
NPI:1033817697
Name:HALASA, ASHLEY MICHEL (LISW)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:MICHEL
Last Name:HALASA
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:MS
Other - First Name:ASHLEY
Other - Middle Name:MICHEL
Other - Last Name:HALASA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ASHLEY HALASA, LISW
Mailing Address - Street 1:1016 IVOR AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44314-1320
Mailing Address - Country:US
Mailing Address - Phone:330-388-0219
Mailing Address - Fax:
Practice Address - Street 1:1016 IVOR AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44314-1320
Practice Address - Country:US
Practice Address - Phone:330-388-0219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-22
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1.16006631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical