Provider Demographics
NPI:1225206873
Name:HALLIGAN, ENID JOAN (LMSW)
Entity Type:Individual
Prefix:
First Name:ENID
Middle Name:JOAN
Last Name:HALLIGAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3712 SW BURLINGAME CIR
Mailing Address - Street 2:SUITE A
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66609-1201
Mailing Address - Country:US
Mailing Address - Phone:785-271-1200
Mailing Address - Fax:785-271-6200
Practice Address - Street 1:3712 SW BURLINGAME CIR
Practice Address - Street 2:SUITE A
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66609-1201
Practice Address - Country:US
Practice Address - Phone:785-271-1200
Practice Address - Fax:785-271-6200
Is Sole Proprietor?:No
Enumeration Date:2008-02-18
Last Update Date:2008-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5424104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker