NPI Code Details Logo

NPI 1104745470

NPI 1104745470 : CHLOE ADELINE HALL MSW, LCSWA : CHARLOTTE, NC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1104745470
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    CHLOE ADELINE HALL MSW, LCSWA
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/13/2026
-----------------------------------------------------
    Last Update Date     |    07/13/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3731 LATROBE DR 
-----------------------------------------------------
    City                 |    CHARLOTTE
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28211-1362
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    980-224-2708
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    414 W 9TH ST APT I 
-----------------------------------------------------
    City                 |    CHARLOTTE
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28202-1792
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    919-928-6827
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    P024041
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.