Healthcare Provider Details

I. General information

NPI: 1568832897
Provider Name (Legal Business Name): NICOLE HALL LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2015
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2362 US HIGHWAY 9 UNIT 4
HOWELL NJ
07731-4017
US

IV. Provider business mailing address

23 BLUE JAY CT
HOWELL NJ
07731-2049
US

V. Phone/Fax

Practice location:
  • Phone: 732-961-7438
  • Fax:
Mailing address:
  • Phone: 732-961-7438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC00529900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: