Marcella A Hale, BS
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Gulfport, MS
NPI 1447458294 · NPPES record last updated May 23, 2018
Key facts
- NPI
- 1447458294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 1989 Pass Road
Gulfport, MS 39531 - Phone
- (228) 207-1248
- Fax
- (228) 388-6182
- NPI assigned
- Jul 3, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Treatment of Mississippi LP | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
1989 Pass Road
Gulfport, MS 39531
Mailing address
1989 Pass Road
Gulfport, MS 39531
Phone (228) 207-1248
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00018214 | Medicaid | MS |
Other providers in Gulfport, MS
- Rose Ann Hagood
- Heather Elizabeth Hailey
- Taylor Hairston
- David Charles Halberg
- Erin Hale
- Shanon Renee Hale
- Anita Charlene Hall
- Charlaysha Hall
- Charmaine Hall
- John Jacobs Hall
All providers in Gulfport, MS · Addiction (Substance Use Disorder) Counselor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2018. 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.