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NPI Code Detail

MEDICARE: MRS. TANJELA S HALL

MEDICARE: MRS. TANJELA S 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
1101YM0800XMental Health Counselor13823NC
2101Y00000XCounselor

General Provider Information

NPI Number : 1669803060
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TANJELA S HALL
Provider Business Mailing Address
First Line : PO BOX 563305
Second Line :
City : CHARLOTTE
State : NC
Zip : 28256-3305
Country : US
Telephone Number : 704-615-8827
Fax Number : 704-599-8760
Provider Business Practice Location Address
First Line : 301 MCCULLOUGH DR STE 400
Second Line :
City : CHARLOTTE
State : NC
Zip : 28262-1336
Country : US
Telephone Number : 704-615-8827
Fax Number : 704-599-8760
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2013
Last Update Date : 05/06/2026

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Directions to “ MRS. TANJELA S HALL ” Practice Location

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