Provider Demographics
NPI:1598471591
Name:HALO BEHAVIORAL HEALTH & DAY CENTER
Entity Type:Organization
Organization Name:HALO BEHAVIORAL HEALTH & DAY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIORAL/MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:GEE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:239-537-5369
Mailing Address - Street 1:905 MCGEE ST STE 136
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64106-2210
Mailing Address - Country:US
Mailing Address - Phone:239-537-5369
Mailing Address - Fax:
Practice Address - Street 1:6524 REEDER ST APT 103
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66203-5616
Practice Address - Country:US
Practice Address - Phone:239-537-5369
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-24
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty