Provider Demographics
NPI:1720747546
Name:HALL, DASHANA L (LCSW)
Entity Type:Individual
Prefix:
First Name:DASHANA
Middle Name:L
Last Name:HALL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5161 SAN FELIPE ST STE 320
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-3640
Mailing Address - Country:US
Mailing Address - Phone:979-475-7210
Mailing Address - Fax:
Practice Address - Street 1:5161 SAN FELIPE ST, SUITE 320
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-3640
Practice Address - Country:US
Practice Address - Phone:979-475-7210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-08
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX532371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX53238OtherTEXAS BOARD OF SOCIAL WORK EXAMINERS