Provider Demographics
NPI:1275985491
Name:HALL, CASEY (LPC, LMFT-S)
Entity Type:Individual
Prefix:
First Name:CASEY
Middle Name:
Last Name:HALL
Suffix:
Gender:F
Credentials:LPC, LMFT-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:622 ALCOA RD
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72015-3404
Mailing Address - Country:US
Mailing Address - Phone:918-809-2509
Mailing Address - Fax:877-728-0820
Practice Address - Street 1:622 ALCOA RD
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72015-3404
Practice Address - Country:US
Practice Address - Phone:501-205-4570
Practice Address - Fax:877-728-0820
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-12
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARM1701012106H00000X
ARP1607084101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health