Halifax Behavioral Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

101Y00000X Issued in FL

Legal business name

HALIFAX BEHAVIORAL SERVICES

Practice address

841 Jimmy Ann Dr
Daytona Beach, FL 32117-4583

Phone

(386) 425-3900

NPI assigned

Feb 20, 2015

Last updated

Feb 20, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dipti Sharma Lincoln

Title

Rmhci

Phone

(386) 425-3900

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424390400000",
    "number": "1649662198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 JIMMY ANN DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 JIMMY ANN DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174583",
            "telephone_number": "386-425-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALIFAX BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-20",
        "last_updated": "2015-02-20",
        "status": "A",
        "authorized_official_last_name": "LINCOLN",
        "authorized_official_first_name": "DIPTI",
        "authorized_official_middle_name": "SHARMA",
        "authorized_official_title_or_position": "RMHCI",
        "authorized_official_telephone_number": "386-425-3900"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "101Y00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Haile
• Mylie Haire
• Taylor Haire, OTR/L
• Lauren Hales, LMHC
• Halifax Anesthesiology Associates PA
• Halifax Chiropractic & Injury Clinic
• Halifax Dunn Pharmacy
• Halifax Healthcare Systems Inc (HHCSI Halifax OB Diagnostics)
• Halifax Healthcare Systems Inc (HHCSI Halifax Breast Health Center)
• Halifax Healthcare Systems Inc (HHCSI Halifax Emergency Department)

• Community/Behavioral Health Agency in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.