Provider Demographics
NPI:1356636518
Name:HALAHAWI, AMARIY SHEMIYAH (ND, CCMA, CNA, NPAP)
Entity Type:Individual
Prefix:
First Name:AMARIY
Middle Name:SHEMIYAH
Last Name:HALAHAWI
Suffix:
Gender:F
Credentials:ND, CCMA, CNA, NPAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3695 CASCADE RD SW STE F
Mailing Address - Street 2:#117
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-2146
Mailing Address - Country:US
Mailing Address - Phone:678-909-4422
Mailing Address - Fax:
Practice Address - Street 1:3695 CASCADE RD SW STE F
Practice Address - Street 2:#117
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-2146
Practice Address - Country:US
Practice Address - Phone:678-909-4422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-16
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALIC NO.08251986LPMT175F00000X
NO. 1011-2793246RP1900X
CCMA NO. 1022-2793247200000X
374T00000X
FLCNA162739376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No175F00000XOther Service ProvidersNaturopath
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
No374T00000XNursing Service Related ProvidersReligious Nonmedical Nursing Personnel