MEDICARE: HALL COUNSELING & CONSULTING SERVICES, PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	103TC1900X	Counseling Psychologist
2	251B00000X	Case Management Agency
3	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1184288755
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HALL COUNSELING & CONSULTING SERVICES, PLLC

Provider Business Mailing Address
First Line	:	531 HEIDRICH
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018
Country	:	US
Telephone Number	:	832-865-3493
Fax Number	:

Provider Business Practice Location Address
First Line	:	531 HEIDRICH ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-4524
Country	:	US
Telephone Number	:	832-865-3493
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. EDRICK LYLE HALL
Credential	:	LPC
Telephone Number	:	832-865-3493

Provider Enumeration Date	:	04/29/2019
Last Update Date	:	05/20/2026

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