Provider Demographics
NPI:1093203978
Name:HALL, ADRIAN (MS,CAT,LPC,MHSP)
Entity Type:Individual
Prefix:MRS
First Name:ADRIAN
Middle Name:
Last Name:HALL
Suffix:
Gender:F
Credentials:MS,CAT,LPC,MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4980 LAST RUN LANE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38125
Mailing Address - Country:US
Mailing Address - Phone:901-219-3028
Mailing Address - Fax:
Practice Address - Street 1:4980 LAST RUN DR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38125-1570
Practice Address - Country:US
Practice Address - Phone:901-219-3028
Practice Address - Fax:833-669-1625
Is Sole Proprietor?:No
Enumeration Date:2018-04-26
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0734007190101YP2500X
MS2891101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional