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Contact Information

BREDA F HALL, LPCC
1531 HIGHLAND COLONY PKWY
MADISON, MS39110-7469
 Phone: 601-506-1459
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Pastoral

101YP1600X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for BREDA F HALL · (Female)

NPI Number 1063684637
Status Active
Credentials LPCC
Entity Individual
Enumeration date 03/24/2008
Last updated 12/18/2008 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 0083571
  • MS Other 01-0877337 DEPT. OF TREASURY, IRS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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