Mallory Renae Hale, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP139974 Issued in TX

Practice address

2271 E Continental Blvd Ste 100
Southlake, TX 76092-9793

Phone

(817) 242-6059

Fax

(817) 775-4401

NPI assigned

Dec 17, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Slate Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Southlake, TX
  • NPI 1447052816
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1235600156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2271 E CONTINENTAL BLVD STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929793",
            "telephone_number": "817-242-6059",
            "fax_number": "817-775-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2271 E CONTINENTAL BLVD STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929793",
            "telephone_number": "817-242-6059",
            "fax_number": "817-775-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "MALLORY",
        "middle_name": "RENAE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP139974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Habash MD
• Ameen Habash, M.D.
• Jasmine Habeeb, LPC-ASSOCIATE
• Evelyn Hagedoorn
• Tina Haitz
• April Haley, LMFT
• Robin Annette Hall, D.O.
• Victoria Hall, DPT
• Cathleen Shannon Hamby
• Linsey Hammon, MS, CCLS

• Psychiatric/Mental Health Nurse Practitioner in Southlake, TX
• Providers in Southlake, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.