Provider Demographics
NPI:1467594077
Name:THREADCRAFT, HAL LAW (PHD)
Entity Type:Individual
Prefix:DR
First Name:HAL
Middle Name:LAW
Last Name:THREADCRAFT
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 HIGHWAY 280 S
Mailing Address - Street 2:SUITE 210
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35223-2420
Mailing Address - Country:US
Mailing Address - Phone:205-414-1975
Mailing Address - Fax:205-414-1980
Practice Address - Street 1:2700 HIGHWAY 280 S
Practice Address - Street 2:SUITE 210
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35223-2420
Practice Address - Country:US
Practice Address - Phone:205-414-1975
Practice Address - Fax:205-414-1980
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL937101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51511032OtherBCBS PROVIDER #