Doctor Name: | MELISSA DEANNE HALL |
NPI Number: | 1104018548 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 61917 |
Business Practice Address: | 308 E Renfro St Suite 208 Burleson, TX - 760283919 |
Business Phone Number: | 8173122572 |
Business Fax Number: | |
Mailing Address: | 308 E Renfro St, Suite 208 BURLESON |
State: | TX |
Postal Code: | 760283919 |
Phone Number: | 8173122572 |
Fax Number: | |
NPI Enumeration Date: | 08/09/2007 |
NPI Last Update Date: | 08/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 61917 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |