Shawna Hale LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SHAWNA HALE LLC

Practice address

3707 E Southern Ave
Mesa, AZ 85206-2569

Phone

(480) 645-3177

NPI assigned

May 8, 2024

Organization subpart

No

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

Authorized official

Name

Shawna Hale, LPC

Title

Owner

Phone

(480) 645-3177

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1306694914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 E SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062569",
            "telephone_number": "480-645-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 E SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062569",
            "telephone_number": "480-645-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWNA HALE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-645-3177",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Mesa, AZ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.