TERRANCE HALE NPI 1265197925

NPI Information

NPI: 1265197925
Provider Name: TERRANCE HALE
Classification: Day Training/Habilitation Specialist - 373H00000X
Entity Type: Individual
Address:
3500 HIGHWAY 5
DOUGLASVILLE, GA
ZIP 30135
Phone: (844) 433-3671
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Terrance Hale is a day training habilitation specialist in Douglasville, GA. The provider is individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. Terrance Hale NPI is 1265197925. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3500 HIGHWAY 5
DOUGLASVILLE, GA
ZIP 30135-315
Phone: (844) 433-3671

The enumeration date for this NPI number is 11/7/2021 and was last updated on 11/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251C00000X	Day Training, Developmentally Disabled Services			GEORGIA	No
2	373H00000X	Day Training/Habilitation Specialist				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	003252348A	MEDICAID	GEORGIA
2	003247136B	MEDICAID	GEORGIA
3	003247136A	MEDICAID	GEORGIA
4	251C00000X	OTHER	GEORGIA	TAXONOMY CODE
5	01011975	OTHER		DATE OF BIRTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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