Provider Demographics
NPI:1275671836
Name:HALLFORD, FAYE ACOCKS (LCSW)
Entity Type:Individual
Prefix:
First Name:FAYE
Middle Name:ACOCKS
Last Name:HALLFORD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10615 PERRIN BEITEL #406
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217
Mailing Address - Country:US
Mailing Address - Phone:210-946-2273
Mailing Address - Fax:210-637-1756
Practice Address - Street 1:10615 PERRIN BEITEL RD STE 406
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-3141
Practice Address - Country:US
Practice Address - Phone:210-946-2273
Practice Address - Fax:210-637-1756
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX08668101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX108165502Medicaid