# GERALD HALL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588725295
- **Authorized official:** LEATISHA R DUBOSE (OFFICE MANAGER)
- **Authorized official phone:** (580) 351-0242

## Contact information

- **Practice address:** 102 SW 12TH ST, LAWTON, OK 73501-3810
- **Practice address phone:** (580) 351-0242
- **Practice address fax:** (580) 351-0282
- **Mailing address:** 102 SW 12TH ST, LAWTON, OK 73501-3810
- **Mailing address phone:** (580) 351-0242
- **Mailing address fax:** (580) 351-0282

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | 789 | OK | — |
| 106H00000X | Marriage & Family Therapist | 562 | OK | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 09/11/2025