Healthcare Provider Details

I. General information

NPI: 1982432985
Provider Name (Legal Business Name): KATHRYN HALLS COUNSELING & CONSULTING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2024
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

419 4TH ST
JACKSON MI
49201-2059
US

IV. Provider business mailing address

1029 S HIGBY ST
JACKSON MI
49203-2831
US

V. Phone/Fax

Practice location:
  • Phone: 517-292-2118
  • Fax:
Mailing address:
  • Phone: 517-748-6629
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KATHRYN T HALL
Title or Position: OWNER
Credential:
Phone: 517-748-6629