Provider Demographics
NPI:1851962450
Name:HALL, RAMONA JOINER (LAPC)
Entity Type:Individual
Prefix:
First Name:RAMONA
Middle Name:JOINER
Last Name:HALL
Suffix:
Gender:F
Credentials:LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:361 HALL RD
Mailing Address - Street 2:
Mailing Address - City:TIFTON
Mailing Address - State:GA
Mailing Address - Zip Code:31793-6659
Mailing Address - Country:US
Mailing Address - Phone:229-326-0424
Mailing Address - Fax:
Practice Address - Street 1:361 HALL RD
Practice Address - Street 2:
Practice Address - City:TIFTON
Practice Address - State:GA
Practice Address - Zip Code:31793-6659
Practice Address - Country:US
Practice Address - Phone:229-326-0424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-06
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC007149101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty