Healthcare Provider Details

I. General information

NPI: 1538851233
Provider Name (Legal Business Name): HALAH WOODHULL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HALAH BUHAISI

II. Dates (important events)

Enumeration Date: 05/22/2023
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3425 SIMPSON FERRY RD STE 100
CAMP HILL PA
17011-6405
US

IV. Provider business mailing address

3425 SIMPSON FERRY RD STE 100
CAMP HILL PA
17011-6405
US

V. Phone/Fax

Practice location:
  • Phone: 717-220-5079
  • Fax:
Mailing address:
  • Phone: 717-220-5079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW021670
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: