Provider Demographics
NPI:1417050758
Name:HALIFAX COUNTY PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:HALIFAX COUNTY PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PUPIL PERSONNEL SERVICE
Authorized Official - Prefix:MR
Authorized Official - First Name:LEON
Authorized Official - Middle Name:NELSON
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-476-3103
Mailing Address - Street 1:1030 MARY BETHUNE STREET
Mailing Address - Street 2:
Mailing Address - City:HALIFAX
Mailing Address - State:VA
Mailing Address - Zip Code:24558
Mailing Address - Country:US
Mailing Address - Phone:434-476-2171
Mailing Address - Fax:
Practice Address - Street 1:1030 MARY BETHUNE ST
Practice Address - Street 2:
Practice Address - City:HALIFAX
Practice Address - State:VA
Practice Address - Zip Code:24558-3213
Practice Address - Country:US
Practice Address - Phone:434-476-2171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA4979958OtherDMAS