Provider Demographics
NPI:1043019185
Name:HALVORSON, EMILY ANN (MA)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:ANN
Last Name:HALVORSON
Suffix:
Gender:
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1530 SPENCER DR
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35405-6350
Mailing Address - Country:US
Mailing Address - Phone:615-878-6062
Mailing Address - Fax:
Practice Address - Street 1:2703 7TH ST
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401-1865
Practice Address - Country:US
Practice Address - Phone:205-759-8470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)