Healthcare Provider Details

I. General information

NPI: 1811154644
Provider Name (Legal Business Name): CARRIE A HALLADAY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2008
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 SOUTHSIDE AVE
GADSDEN AL
35901-5268
US

IV. Provider business mailing address

410 SOUTHSIDE AVE
GADSDEN AL
35901-5268
US

V. Phone/Fax

Practice location:
  • Phone: 256-282-3885
  • Fax:
Mailing address:
  • Phone: 256-282-3885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2392
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: