Halback, Kim
Halback, Kim is an sole proprietor health care provider with primary practice located at 3311 Toledo Ter Ste B103 , Hyattsville MD 20782-8146. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Halback, Kim can be contacted via phone (800) 431-6377.Contact Information
Primary practice address
3311 Toledo Ter Ste B103
Hyattsville MD 20782-8146
Phone: (800) 431-6377
Fax: (866) 936-0235
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 6651 | South Carolina |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LC50078515 | District of Columbia |
Profile Details
| NPI number | 1770576175 |
|---|---|
| LBN Legal business name | Halback, Kim |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Jan 21st, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770576175 | NPPES |
| South Carolina | MEDICAID | 372048 |
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