Healthcare Provider Details

I. General information

NPI: 1720108236
Provider Name (Legal Business Name): DANA ELIZABETH HALL MS, LPA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17105 PARK PLACE ST
EAGLE RIVER AK
99577-7821
US

IV. Provider business mailing address

17105 PARK PLACE ST
EAGLE RIVER AK
99577-7821
US

V. Phone/Fax

Practice location:
  • Phone: 907-726-3024
  • Fax: 907-622-8808
Mailing address:
  • Phone: 907-726-3024
  • Fax: 907-622-8808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC6480
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPSYA600
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: