Provider Demographics
NPI:1346726106
Name:JEANETTE MURRAY-HALL COUNSELING, INC.
Entity Type:Organization
Organization Name:JEANETTE MURRAY-HALL COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEANETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:MURRAY-HALL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:724-815-5836
Mailing Address - Street 1:8310 STATE ROUTE 7
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44093-8710
Mailing Address - Country:US
Mailing Address - Phone:724-815-5836
Mailing Address - Fax:
Practice Address - Street 1:10 SNYDER RD STE 5
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-3432
Practice Address - Country:US
Practice Address - Phone:724-815-5836
Practice Address - Fax:440-689-0087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-16
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAD892147Medicaid