Doctor Name: | DR. MICHAEL LOUIS HALE |
NPI Number: | 1033324041 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.MIN, LCSW,CFLE |
License Number: | C002111 |
Business Practice Address: | 4948 Lattimore St Hope Mills, NC - 283482495 |
Business Phone Number: | 9104253790 |
Business Fax Number: | 9104238494 |
Mailing Address: | 4948 Lattimore St, HOPE MILLS |
State: | NC |
Postal Code: | 283482495 |
Phone Number: | 9104253790 |
Fax Number: | 9104238494 |
NPI Enumeration Date: | 05/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C002111 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |