Search › Georgia › 1041C0700X
Ian Halstead, LCSW
NPI 1972574895 · on the registry since 2006 · sole proprietor
Practice
- Address
- 3855 Shallowford Rd Ste 420
Marietta, GA 30062 - Phone
- (678) 792-8677
- Fax
- (770) 993-8004
- Organisation at this address
- Chj, Inc
Brace Mobility
Iain Halstead Llc
Jyoti Corporation, Llc
East Cobb Therapy Center LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 28
Additional practice sites
- 523 1/2 Prince Ave, Athens, GA
- 523 1/2 Prince Ave, Athens, GA
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-11-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia