Carmelita Hale, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC015592 Issued in GA

Practice address

521 Shuga Blvd
Jefferson, GA 30549-1204

Phone

(706) 431-5357

NPI assigned

Mar 18, 2025

Last updated

Mar 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1861292609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 BAILEY DR",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305497125",
            "telephone_number": "484-797-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 SHUGA BLVD",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305491204",
            "telephone_number": "706-431-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "CARMELITA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC015592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glegen Medical Ga Inc
• Hailey Grace Glowacki
• Melissa Anne Gottschall, RN
• William Ross Grimsley, MD
• Frederick C Gurley, RPH
• Catherine Marie Harm, LCSW
• Jada Harrison, LPC
• Susan Weaver Hawn, M.D.
• Angela L Haynes, MN MPH
• Healing With Grace Counseling & Consulting Services, LLC

• Mental Health Counselor in Jefferson, GA
• Providers in Jefferson, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.