Healthcare Provider Details

I. General information

NPI: 1215821657
Provider Name (Legal Business Name): ROBYN MARIE HALL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2025
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 460
BROOKLINE MO
65619-0460
US

IV. Provider business mailing address

PO BOX 460
BROOKLINE MO
65619-0460
US

V. Phone/Fax

Practice location:
  • Phone: 417-353-3009
  • Fax:
Mailing address:
  • Phone: 573-776-8849
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: