Provider Demographics
NPI:1093012858
Name:HALSTEAD, DARCY
Entity Type:Individual
Prefix:
First Name:DARCY
Middle Name:
Last Name:HALSTEAD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 CHASE ST
Mailing Address - Street 2:APT. 3
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-4338
Mailing Address - Country:US
Mailing Address - Phone:757-508-0458
Mailing Address - Fax:
Practice Address - Street 1:35 CHASE STREET
Practice Address - Street 2:APT. 3
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-4338
Practice Address - Country:US
Practice Address - Phone:757-508-0458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-14
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor