Healthcare Provider Details

I. General information

NPI: 1982523023
Provider Name (Legal Business Name): ERIN HALL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 FOX MDW
MARLBOROUGH CT
06447-1162
US

IV. Provider business mailing address

39 FOX MDW
MARLBOROUGH CT
06447-1162
US

V. Phone/Fax

Practice location:
  • Phone: 860-638-8724
  • Fax:
Mailing address:
  • Phone: 860-638-8724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number19
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number7017
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: