Provider Demographics
NPI:1881342665
Name:HALL, WILLIAM
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:HALL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 WALNUT LN
Mailing Address - Street 2:
Mailing Address - City:WOODFIN
Mailing Address - State:NC
Mailing Address - Zip Code:28804-3128
Mailing Address - Country:US
Mailing Address - Phone:828-243-3704
Mailing Address - Fax:
Practice Address - Street 1:26 WALNUT LN
Practice Address - Street 2:
Practice Address - City:WOODFIN
Practice Address - State:NC
Practice Address - Zip Code:28804-3128
Practice Address - Country:US
Practice Address - Phone:828-243-3704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-11
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)