Provider Demographics
NPI:1972842425
Name:HALL, TASHA DELORES (LCSWA)
Entity Type:Individual
Prefix:
First Name:TASHA
Middle Name:DELORES
Last Name:HALL
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 STOWE AVE
Mailing Address - Street 2:UNIT 302
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203-6483
Mailing Address - Country:US
Mailing Address - Phone:336-953-3145
Mailing Address - Fax:
Practice Address - Street 1:2031 MARTIN LUTHER KING JR DR STE E
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-3300
Practice Address - Country:US
Practice Address - Phone:336-271-5888
Practice Address - Fax:336-271-5882
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-04
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical