Healthcare Provider Details

I. General information

NPI: 1861914178
Provider Name (Legal Business Name): CLAUDIA HALL MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2017
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2155 JACKSON AVE
ANN ARBOR MI
48103-3976
US

IV. Provider business mailing address

7092 COLCHESTER LN
YPSILANTI MI
48197-1872
US

V. Phone/Fax

Practice location:
  • Phone: 734-645-8944
  • Fax:
Mailing address:
  • Phone: 734-999-6728
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6451019420
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: