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DR. SHANNON LACERNE HALL
NPI 1164856373
Counselor in Ellenwood, GA

Active since August 23, 2013
2515 TOLLIVER DR, ELLENWOOD, GA 30294(678) 794-7112(404) 241-9083 Get Directions Write a Review

NPPES record last updated: August 23, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Shannon Lacerne Hall NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHANNON LACERNE HALL (NPI 1164856373) is an individual counselor in Ellenwood, Georgia, licensed in Georgia (08137869) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1164856373
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameDR. SHANNON LACERNE HALL
Location Address2515 TOLLIVER DREllenwood, GA 30294-6228
Mailing Address2515 Tolliver DrEllenwood, GA 30294-6228 · (678) 794-7112 · Fax (404) 241-9083
Phone(678) 794-7112
Fax(404) 241-9083
Sole ProprietorYes
Enumeration DateAugust 23, 2013
✔ NPI 1164856373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in GA · 08137869
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

2515 TOLLIVER DR, Ellenwood, GA 30294
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Frequently Asked Questions

What is Shannon Hall's NPI number?

The NPI number assigned to this healthcare provider is 1164856373, enumerated as an "individual" on August 23, 2013.

Where is the provider located?

The provider is located at 2515 TOLLIVER DR ELLENWOOD, GA 30294 and the phone number is (678) 794-7112.

What is the provider's specialty?

Counselor with taxonomy code 101Y00000X.