Provider Demographics
NPI:1871016899
Name:KAREN HALL, LCSW, PA
Entity Type:Organization
Organization Name:KAREN HALL, LCSW, PA
Other - Org Name:HALL & ASSOCIATES COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, PA
Authorized Official - Phone:870-236-2265
Mailing Address - Street 1:1905 CHATEAU BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:PARAGOULD
Mailing Address - State:AR
Mailing Address - Zip Code:72450
Mailing Address - Country:US
Mailing Address - Phone:870-236-2265
Mailing Address - Fax:870-215-0772
Practice Address - Street 1:1905 CHATEAU BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:PARAGOULD
Practice Address - State:AR
Practice Address - Zip Code:72450
Practice Address - Country:US
Practice Address - Phone:870-236-2265
Practice Address - Fax:870-215-0772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR104100000X
AR4172-C261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1790991883OtherNPI