Healthcare Provider Details

I. General information

NPI: 1952667552
Provider Name (Legal Business Name): ABIGAIL RUTH HALL EASON LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ABIGAIL HALL LPCA

II. Dates (important events)

Enumeration Date: 04/09/2012
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8562 NC HIGHWAY 105 S UNIT 102
BOONE NC
28607-7879
US

IV. Provider business mailing address

PO BOX 1614
BANNER ELK NC
28604-1614
US

V. Phone/Fax

Practice location:
  • Phone: 828-333-4170
  • Fax: 855-404-4030
Mailing address:
  • Phone: 828-333-4170
  • Fax: 855-404-4030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number9850
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number9850
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: