Healthcare Provider Details

I. General information

NPI: 1174722144
Provider Name (Legal Business Name): CHERYL ANN HALL LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2007
Last Update Date: 12/26/2024
Certification Date: 12/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 S HOWE ST
LAMPASAS TX
76550-2553
US

IV. Provider business mailing address

106 S HOWE ST
LAMPASAS TX
76550-2553
US

V. Phone/Fax

Practice location:
  • Phone: 512-564-0600
  • Fax:
Mailing address:
  • Phone: 512-564-0600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number60026
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: