Provider Demographics
NPI:1083183610
Name:HALL, BRIANNA (MA, MFT)
Entity Type:Individual
Prefix:MS
First Name:BRIANNA
Middle Name:
Last Name:HALL
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 CARTER PARK DR
Mailing Address - Street 2:
Mailing Address - City:SENECA
Mailing Address - State:SC
Mailing Address - Zip Code:29678-1152
Mailing Address - Country:US
Mailing Address - Phone:864-885-0157
Mailing Address - Fax:864-882-3974
Practice Address - Street 1:115 CARTER PARK DR
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:SC
Practice Address - Zip Code:29678-1152
Practice Address - Country:US
Practice Address - Phone:864-885-0157
Practice Address - Fax:864-882-3974
Is Sole Proprietor?:No
Enumeration Date:2018-11-13
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health