Provider Demographics
NPI:1730893736
Name:HALFORD, FARAH (NCC, LPC)
Entity type:Individual
Prefix:MRS
First Name:FARAH
Middle Name:
Last Name:HALFORD
Suffix:
Gender:F
Credentials:NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 9TH ST STE 105
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31901-2762
Mailing Address - Country:US
Mailing Address - Phone:706-987-2429
Mailing Address - Fax:
Practice Address - Street 1:18 9TH ST STE 105
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-2762
Practice Address - Country:US
Practice Address - Phone:706-987-2429
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-13
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC007707101YM0800X
GALPC014460101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health