Healthcare Provider Details

I. General information

NPI: 1891424842
Provider Name (Legal Business Name): PARIS AYANA HALL LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2022
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3220 SACRAMENTO ST
BERKELEY CA
94702-2726
US

IV. Provider business mailing address

5386 GLENWOOD WAY
EL SOBRANTE CA
94803-3891
US

V. Phone/Fax

Practice location:
  • Phone: 510-847-8847
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number135271
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number13014
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number164661
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: