Provider Demographics
NPI:1972997559
Name:HALLIE B. DURCHSLAG, LTD
Entity Type:Organization
Organization Name:HALLIE B. DURCHSLAG, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:HALLIE
Authorized Official - Middle Name:B
Authorized Official - Last Name:DURCHSLAG
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-S
Authorized Official - Phone:216-916-2070
Mailing Address - Street 1:PO BOX 18481
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-0481
Mailing Address - Country:US
Mailing Address - Phone:888-808-6625
Mailing Address - Fax:888-388-7188
Practice Address - Street 1:3109 MAYFIELD RD
Practice Address - Street 2:SUITE 204
Practice Address - City:CLEVELAND HTS
Practice Address - State:OH
Practice Address - Zip Code:44118-1726
Practice Address - Country:US
Practice Address - Phone:216-916-2070
Practice Address - Fax:216-795-5750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-23
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty