Doctor Name: | LAURA NICOLE HALL |
NPI Number: | 1306131461 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LAC |
License Number: | A1408109 |
Business Practice Address: | 203b Westport Dr Cabot, AR - 720233657 |
Business Phone Number: | 5018439233 |
Business Fax Number: | 5018439656 |
Mailing Address: | 203b Westport Dr, CABOT |
State: | AR |
Postal Code: | 720233657 |
Phone Number: | 5018439233 |
Fax Number: | 5018439656 |
NPI Enumeration Date: | 06/16/2011 |
NPI Last Update Date: | 10/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | A1408109 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |