Provider Demographics
NPI:1164848958
Name:THE HALLIDAY CENTER FOR PSYCHOTHERAPY AND WELLNESS, INC.
Entity Type:Organization
Organization Name:THE HALLIDAY CENTER FOR PSYCHOTHERAPY AND WELLNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:HALLIDAY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, CGP
Authorized Official - Phone:760-635-3310
Mailing Address - Street 1:PO BOX 895
Mailing Address - Street 2:
Mailing Address - City:CARDIFF BY THE SEA
Mailing Address - State:CA
Mailing Address - Zip Code:92007-0895
Mailing Address - Country:US
Mailing Address - Phone:760-635-3310
Mailing Address - Fax:760-452-7525
Practice Address - Street 1:355 SANTA FE DR
Practice Address - Street 2:SUITE 200
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-5152
Practice Address - Country:US
Practice Address - Phone:760-635-3310
Practice Address - Fax:760-452-7525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-17
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty