Healthcare Provider Details

I. General information

NPI: 1356198964
Provider Name (Legal Business Name): SARAH BETH HALSTEAD MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2024
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 S EISENHOWER DR
BECKLEY WV
25801-4929
US

IV. Provider business mailing address

PO BOX 875
DANIELS WV
25832-0875
US

V. Phone/Fax

Practice location:
  • Phone: 304-256-7118
  • Fax: 304-252-6796
Mailing address:
  • Phone: 304-640-1292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: