# HALO MEDICAL & AESTHETICS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710836614
- **Authorized official:** CANDICE STACY APRN, FNP-BC (OWNER, FNP-BC)
- **Authorized official phone:** (304) 784-3649

## Contact information

- **Practice address:** 2642 US 52, GILBERT, WV 25621
- **Practice address phone:** (304) 784-3649
- **Practice address fax:** (304) 223-7654
- **Mailing address:** 2642 US 52, GILBERT, WV 25621
- **Mailing address phone:** (304) 784-3649
- **Mailing address fax:** (304) 223-7654

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/23/2026
- **Last updated:** 01/23/2026