Provider Demographics
NPI:1447538970
Name:HALL, REBECCA JANE (LISW-S)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:JANE
Last Name:HALL
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:252 BRADENTON AVE
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-7504
Mailing Address - Country:US
Mailing Address - Phone:614-588-0303
Mailing Address - Fax:614-588-0305
Practice Address - Street 1:252 BRADENTON AVE
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-7504
Practice Address - Country:US
Practice Address - Phone:614-588-0303
Practice Address - Fax:614-588-0305
Is Sole Proprietor?:No
Enumeration Date:2011-08-02
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI 0009176 SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1801019500OtherSOLUTIONS COUNSELING, LLC NPI