Provider Demographics
NPI:1073259313
Name:HALL, JAMES LEVI (LPCA)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:LEVI
Last Name:HALL
Suffix:
Gender:M
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1706 WHITEFORD RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29210-6024
Mailing Address - Country:US
Mailing Address - Phone:828-808-2126
Mailing Address - Fax:
Practice Address - Street 1:1443 HIGHWAY 1 S
Practice Address - Street 2:
Practice Address - City:LUGOFF
Practice Address - State:SC
Practice Address - Zip Code:29078-9460
Practice Address - Country:US
Practice Address - Phone:803-708-0902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-10
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7454101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional