Provider Demographics
NPI:1932118379
Name:HALL, HEMP W (LPC)
Entity Type:Individual
Prefix:
First Name:HEMP
Middle Name:W
Last Name:HALL
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 1:16 CERRATO LN
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-0607
Mailing Address - Country:US
Mailing Address - Phone:903-832-4476
Mailing Address - Fax:903-831-6573
Practice Address - Street 1:16 CERRATO LN
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-0607
Practice Address - Country:US
Practice Address - Phone:903-832-4476
Practice Address - Fax:903-831-6573
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3168101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health