Healthcare Provider Details

I. General information

NPI: 1659159218
Provider Name (Legal Business Name): JANEL E HALLOFF
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2023
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1331 N ALMA SCHOOL RD STE 100
CHANDLER AZ
85224-5939
US

IV. Provider business mailing address

4158 E MILKY WAY
GILBERT AZ
85295-6103
US

V. Phone/Fax

Practice location:
  • Phone: 480-530-6441
  • Fax:
Mailing address:
  • Phone: 480-335-2882
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-23819
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: