1467850271 NPI number — MS. HOLLYI SUSANNE HALL EDS LMFT

Table of content: MS. HOLLYI SUSANNE HALL EDS LMFT (NPI 1467850271)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467850271 NPI number — MS. HOLLYI SUSANNE HALL EDS LMFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HALL
Provider First Name:
HOLLYI
Provider Middle Name:
SUSANNE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
EDS LMFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467850271
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/25/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1321 MURFREESBORO PIKE STE 702
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NASHVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37217-2679
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
844-359-7629
Provider Business Mailing Address Fax Number:
615-577-5654

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
17B CALDEDON CT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GREENVILLE
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29615
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
864-631-2084
Provider Business Practice Location Address Fax Number:
615-577-5654
Provider Enumeration Date:
12/10/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 106H00000X , with the licence number: 4639 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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