Healthcare Provider Details

I. General information

NPI: 1316103096
Provider Name (Legal Business Name): CHRISTINE HALL LPC, COTA/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2008
Last Update Date: 02/02/2025
Certification Date: 02/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3879 E 120TH AVE UNIT 333
THORNTON CO
80233-1658
US

IV. Provider business mailing address

3879 E 120TH AVE UNIT 333
THORNTON CO
80233-1658
US

V. Phone/Fax

Practice location:
  • Phone: 720-773-7845
  • Fax:
Mailing address:
  • Phone: 303-667-7501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLPC.0020569
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOTA.0000474
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0020569
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: