Provider Demographics
NPI:1558046078
Name:CHRISTINE HALTERMAN PLLC
Entity Type:Organization
Organization Name:CHRISTINE HALTERMAN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MAIN MEMBER OF LLC
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HALTERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LCMHCA, NCC
Authorized Official - Phone:704-918-3534
Mailing Address - Street 1:5515 MONTICELLO DR NW
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-8069
Mailing Address - Country:US
Mailing Address - Phone:704-918-3534
Mailing Address - Fax:
Practice Address - Street 1:5170 NC HIGHWAY 105 S STE 1
Practice Address - Street 2:
Practice Address - City:BANNER ELK
Practice Address - State:NC
Practice Address - Zip Code:28604-8734
Practice Address - Country:US
Practice Address - Phone:828-898-4145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-21
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty