NPIMap

Halo Medical & Aesthetics LLC

Organization Active NPI General Practice Physician · Gilbert, WV

NPI 1710836614 · NPPES record last updated Jan 23, 2026

Key facts

NPI
1710836614
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
Legal business name
HALO MEDICAL & AESTHETICS LLC
Practice address
2642 US 52
Gilbert, WV 25621
Phone
(304) 784-3649
Fax
(304) 223-7654
NPI assigned
Jan 23, 2026
Organization subpart
No

Authorized official

Name
Candice Stacy, APRN, FNP-BC
Title
Owner, FNP-BC
Phone
(304) 784-3649

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

  • Candice Stacy, FNP-BC Family Nurse Practitioner · Man, WV · NPI 1841691821
    NPD

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D2338866Halo Medical & Aesthetics LLC
2642 US 52, Gilbert, WV 25621		Certificate of waiverFeb 18, 2028

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 208D00000X Yes

Addresses

Primary practice location

2642 US 52
Gilbert, WV 25621

Mailing address

2642 US 52
Gilbert, WV 25621
Phone (304) 784-3649

Other providers in Gilbert, WV

All providers in Gilbert, WV · General Practice Physician in West Virginia

Sources for this page

Verify at the official NPI Registry.