Individual
MALLORY RENAE HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2271 E CONTINENTAL BLVD STE 100, SOUTHLAKE, TX 76092-9793
(817) 242-6059
(817) 775-4401
Mailing address
2271 E CONTINENTAL BLVD STE 100, SOUTHLAKE, TX 76092-9793
(817) 242-6059
(817) 775-4401
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP139974
TX
Other
Enumeration date
12/17/2018
Last updated
06/05/2025
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