Provider Demographics
NPI:1922873801
Name:HALLADAY, ERIN L (ALC)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:L
Last Name:HALLADAY
Suffix:
Gender:F
Credentials:ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4483 PEEKS HILL RD
Mailing Address - Street 2:
Mailing Address - City:OHATCHEE
Mailing Address - State:AL
Mailing Address - Zip Code:36271-7810
Mailing Address - Country:US
Mailing Address - Phone:256-282-4762
Mailing Address - Fax:
Practice Address - Street 1:410 SOUTHSIDE AVE
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-5268
Practice Address - Country:US
Practice Address - Phone:256-282-3885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALALC04700101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional