Basic Information
| Provider Information | |||||||||
| NPI: | 1184288755 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HALL COUNSELING & CONSULTING SERVICES, PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 531 HEIDRICH | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 77018 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8328653493 | ||||||||
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| Practice Location | |||||||||
| Address1: | 531 HEIDRICH ST | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770184524 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8328653493 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/29/2019 | ||||||||
| LastUpdateDate: | 08/30/2022 | ||||||||
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| AuthorizedOfficialLastName: | HALL | ||||||||
| AuthorizedOfficialFirstName: | EDRICK | ||||||||
| AuthorizedOfficialMiddleName: | LYLE | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 8328653493 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| AuthorizedOfficialCredential: | LPC | ||||||||
| NPICertificationDate: | 08/30/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC1900X | N | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Psychologist | Counseling | 101YP2500X | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.