Individual
BIANCA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2715 MACKEY PL, SHREVEPORT, LA 71118-2544
(318) 603-3142
Mailing address
809 KINGSTON CT, SHREVEPORT, LA 71118-4117
(318) 401-8858
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
12/12/2023
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