Healthcare Provider Details

I. General information

NPI: 1780569301
Provider Name (Legal Business Name): TEYA HALE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2025
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7280 SELLERS LN
MOBILE AL
36608-4646
US

IV. Provider business mailing address

7347 ZEIGLER CIR S
MOBILE AL
36608-4851
US

V. Phone/Fax

Practice location:
  • Phone: 251-776-1930
  • Fax:
Mailing address:
  • Phone: 205-515-1417
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC05649
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: