MRS. GWENDOLYN B HALL LPC
NPI 1629080817
Counselor - Professional in College Park, GA
Active since August 13, 2006
2245 GODBY RD STE 114, COLLEGE PARK, GA 30349(404) 405-0858(770) 892-3226 Get Directions Write a Review
About Mrs. Gwendolyn B Hall Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. GWENDOLYN B HALL LPC (NPI 1629080817) is an individual professional provider in College Park, Georgia, licensed in Georgia (LPC004436) and active in the NPI registry since August 2006.
NPPES Registry Identity
NPI1629080817
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. GWENDOLYN B HALLCredential: LPC
Location Address2245 GODBY RD STE 114College Park, GA 30349-5060
Mailing Address6388 Pheasant TrlFairburn, GA 30213-4622 · (770) 892-3225 · Fax (770) 892-3226
Phone(404) 405-0858
Fax(770) 892-3226
Sole ProprietorNo
Enumeration DateAugust 13, 2006
Last NPPES UpdateSeptember 17, 2008
✔ NPI 1629080817 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC004436
Also ListedCounselor · SchoolTaxonomy 101YS0200X · License 359960 (GA)
2245 GODBY RD STE 114, College Park, GA 30349
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629080817, enumerated as an "individual" on August 13, 2006.
The provider is located at 2245 GODBY RD STE 114 COLLEGE PARK, GA 30349 and the phone number is (404) 405-0858.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
