Provider Demographics
NPI:1598065609
Name:HALL, NICOLE A (LIMHP, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:A
Last Name:HALL
Suffix:
Gender:F
Credentials:LIMHP, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1755 PRAIRIE VIEW PL
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68845-8300
Mailing Address - Country:US
Mailing Address - Phone:308-440-4025
Mailing Address - Fax:
Practice Address - Street 1:1755 PRAIRIE VIEW PL
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68845-8300
Practice Address - Country:US
Practice Address - Phone:308-440-4025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-25
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1890101YM0800X
NE3802101YM0800X
NE1362101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health