MEDICARE: DANIKA RENEE HALE ALC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	C2996A	AL

General Provider Information

NPI Number	:	1710541446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIKA RENEE HALE ALC

Provider Business Mailing Address
First Line	:	2701 HACKBERRY RD
Second Line	:
City	:	VESTAVIA
State	:	AL
Zip	:	35226-3913
Country	:	US
Telephone Number	:	334-590-6286
Fax Number	:

Provider Business Practice Location Address
First Line	:	1728 5TH AVE N
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35203-2023
Country	:	US
Telephone Number	:	205-502-7278
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2019
Last Update Date	:	04/29/2019

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