# HAWTHORNE INTEGRATIVE

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

## Provider details

- **NPI number:** 1659730133
- **Authorized official:** DR. MICHELLE FLAUM HALL ED.D., LPCC-S (PARTNER)
- **Authorized official phone:** (937) 545-7392

## Contact information

- **Practice address:** 5450 FAR HILLS AVE STE 222, KETTERING, OH 45429-2386
- **Practice address phone:** (937) 545-7392
- **Mailing address:** 5450 FAR HILLS AVE STE 222, KETTERING, OH 45429-2386
- **Mailing address phone:** (937) 545-7392

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | E2080 | OH | — |
| 101YM0800X | Mental Health Counselor | E7537 | OH | Yes |

## Other

- **Enumeration date:** 02/12/2016
- **Last updated:** 02/12/2016
