Hall, Sandra Cheryl

Hall, Sandra Cheryl is an sole proprietor health care provider with primary practice located at 127 Gary St Coast Counseling Center, Gulfport MS 39503-3503. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hall, Sandra Cheryl can be contacted via phone (228) 832-0556.

Contact Information

Primary practice address
127 Gary St Coast Counseling Center Gulfport MS 39503-3503
Fax: (228) 831-4495
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C2816 Mississippi

Profile Details

NPI number 1528072048
LBN Legal business name Hall, Sandra Cheryl
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2006
Last updated Jan 24th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528072048 NPPES
Mississippi MEDICAID 00117511

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