Provider Demographics
NPI:1942974779
Name:HALL, TRIPOLI (LMHC)
Entity Type:Individual
Prefix:
First Name:TRIPOLI
Middle Name:
Last Name:HALL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4396 GALT CITY ROAD NW
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:FL
Mailing Address - Zip Code:32583-8995
Mailing Address - Country:US
Mailing Address - Phone:850-470-5947
Mailing Address - Fax:
Practice Address - Street 1:6672 HINOTE ST
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:FL
Practice Address - Zip Code:32570-4389
Practice Address - Country:US
Practice Address - Phone:850-470-5947
Practice Address - Fax:877-468-2119
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-04
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH14271101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty