| Doctor Name: | MR. BENJAMIN L HALL |
| NPI Number: | 1609025055 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC-MA |
| License Number: | PENDING |
| Business Practice Address: | 3926 Bahler Ave Manvel, TX - 775782823 |
| Business Phone Number: | 2814891290 |
| Business Fax Number: | 2814898806 |
| Mailing Address: | 3926 Bahler Ave, MANVEL |
| State: | TX |
| Postal Code: | 775782823 |
| Phone Number: | 2814891290 |
| Fax Number: | 2814898806 |
| NPI Enumeration Date: | 09/10/2008 |
| NPI Last Update Date: | 09/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PENDING |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |