Healthcare Provider Details

I. General information

NPI: 1225680622
Provider Name (Legal Business Name): A'YANNA HALL MA-CMHC, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2019
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1490 E MAIN ST
COLUMBUS OH
43205-2140
US

IV. Provider business mailing address

1490 E MAIN ST
COLUMBUS OH
43205-2140
US

V. Phone/Fax

Practice location:
  • Phone: 614-252-0731
  • Fax:
Mailing address:
  • Phone: 614-252-0731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE.2404116
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2404116
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: