Organization
SANDRA HALL, LMHC, CAP, CRC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA SWARY HALL LMHC, CAP, CRC (CEO)
(727) 623-0974
Entity
Organization
Contact information
Practice address
10825 SEMINOLE BLVD, UNIT 2A, LARGO, FL 33778-3315
(727) 623-0974
(727) 623-0975
Mailing address
10825 SEMINOLE BLVD, UNIT 2A, LARGO, FL 33778-3315
(727) 623-0974
(727) 623-0975
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MH 7586
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
767696400
—
FL
Enumeration date
12/15/2016
Last updated
12/15/2016
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