Healthcare Provider Details

I. General information

NPI: 1285571364
Provider Name (Legal Business Name): HALLE FOWLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 CANAL ST
NEW ORLEANS LA
70119-6535
US

IV. Provider business mailing address

809 SUMMER BREEZE DR APT 106
BATON ROUGE LA
70810-6196
US

V. Phone/Fax

Practice location:
  • Phone: 800-935-8387
  • Fax:
Mailing address:
  • Phone: 404-333-3183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: