Provider Demographics
NPI:1679072243
Name:HALL, STEVIE ARLENE (PHD, LPC, CSAT)
Entity Type:Individual
Prefix:
First Name:STEVIE
Middle Name:ARLENE
Last Name:HALL
Suffix:
Gender:F
Credentials:PHD, LPC, CSAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16135 PRESTON RD STE 125
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-8524
Mailing Address - Country:US
Mailing Address - Phone:469-505-3416
Mailing Address - Fax:
Practice Address - Street 1:16135 PRESTON RD STE 125
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-8524
Practice Address - Country:US
Practice Address - Phone:469-505-3416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-08
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101YA0400X
TX79151101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)