Provider Demographics
NPI:1619017019
Name:HALE, ROGER PAUL (LPC)
Entity Type:Individual
Prefix:MR
First Name:ROGER
Middle Name:PAUL
Last Name:HALE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:904 VIA DEL REY
Mailing Address - Street 2:ROGER P. HALE
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-3026
Mailing Address - Country:US
Mailing Address - Phone:972-768-2772
Mailing Address - Fax:972-423-7210
Practice Address - Street 1:500 N CENTRAL EXPY
Practice Address - Street 2:262
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-6772
Practice Address - Country:US
Practice Address - Phone:972-881-8383
Practice Address - Fax:972-423-7210
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17903101YM0800X, 101YP2500X
TXCERTIFICATE101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool