Hall, Breda Faye
Hall, Breda Faye is an sole proprietor health care provider with primary practice located at 1531 Highland Colony Pkwy , Madison MS 39110-7469. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Hall, Breda Faye can be contacted via phone (601) 506-1459.Contact Information
Primary practice address
1531 Highland Colony Pkwy
Madison MS 39110-7469
Phone: (601) 506-1459
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0083571 | New Mexico |
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | 0083571 | New Mexico |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0083571 | New Mexico |
Profile Details
| NPI number | 1063684637 |
|---|---|
| LBN Legal business name | Hall, Breda Faye |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 24th, 2008 |
| Last updated | Dec 18th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063684637 | NPPES |
| Mississippi | Other | 01-0877337 | DEPT. OF TREASURY, IRS |
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