MEDICARE: TREVOR HALL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	99861	TX

General Provider Information

NPI Number	:	1013842707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TREVOR HALL

Provider Business Mailing Address
First Line	:	1776 WOODSTEAD CT STE 125
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-1450
Country	:	US
Telephone Number	:	903-977-0121
Fax Number	:

Provider Business Practice Location Address
First Line	:	1776 WOODSTEAD CT STE 125
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-1450
Country	:	US
Telephone Number	:	903-977-0121
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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Directions to “ TREVOR HALL ” Practice Location

Language	Start Address	Practice Location

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