Hall, Thomas Brant
Hall, Thomas Brant is an individual health care provider with primary practice located at 1302 Calle De La Merced , Espanola NM 87532-2624. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hall, Thomas Brant can be contacted via phone (505) 747-0081.Contact Information
Primary practice address
1302 Calle De La Merced
Espanola NM 87532-2624
Phone: (505) 747-0081
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C-09466 | New Mexico |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW.09924914 | Colorado |
Profile Details
| NPI number | 1538416086 |
|---|---|
| LBN Legal business name | Hall, Thomas Brant |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2012 |
| Last updated | Apr 5th, 2018 - about 7 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 | 1538416086 | NPPES |
| New Mexico | MEDICAID | 02032279 |
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