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NPI Code Detail

MEDICARE: HALO HEALTH CLINIC INC

MEDICARE: HALO HEALTH CLINIC INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1255028940
Entity Type Code : Organization
Provider Name (Legal Business Name) : HALO HEALTH CLINIC INC
Provider Business Mailing Address
First Line : 1707 VILLAGE CENTER CIR STE 250
Second Line :
City : LAS VEGAS
State : NV
Zip : 89134-0597
Country : US
Telephone Number : 702-718-7353
Fax Number :
Provider Business Practice Location Address
First Line : 1707 VILLAGE CENTER CIR STE 250
Second Line :
City : LAS VEGAS
State : NV
Zip : 89134-0597
Country : US
Telephone Number : 702-718-7353
Fax Number :
Authorized Official
Title or Position : OWNER
Name : PAUL MANLEY
Credential :
Telephone Number : 702-805-2069
Provider Enumeration Date : 04/21/2023
Last Update Date : 05/18/2026

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Directions to “HALO HEALTH CLINIC INC ” Practice Location

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