Casey Hall, LPC, LMFT-S
Individual provider Active NPI Marriage & Family Therapist · Benton, AR
NPI 1275985491 · NPPES record last updated Mar 3, 2023
Key facts
- NPI
- 1275985491
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- M1701012 (AR)
- Practice address
- 622 Alcoa Rd
Benton, AR 72015-3404 - Phone
- (501) 205-4570
- Fax
- (877) 728-0820
- NPI assigned
- Jul 12, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1607084 | AR | MD | Mental Health Counselor |
| M1701012 | AR | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | M1701012 | AR | Yes |
| Mental Health Counselor | 101YM0800X | P1607084 | AR |
Addresses
Primary practice location
622 Alcoa Rd
Benton, AR 72015-3404
Mailing address
622 Alcoa Rd
Benton, AR 72015-3404
Phone (918) 809-2509
Other providers in Benton, AR
- Sarah Hagerman
- Melnika J Hale
- James Zackary Haley
- Tammi Sue Haley
- Carlton Duane Hall
- Dillon Hall
- Lashundra Hall
- Necole Camile Hall
- Paula J Hall
- Shelby L Hall
All providers in Benton, AR · Marriage & Family Therapist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.