DAVID JACK HALE (NPI# 1952953085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952953085 |
| Entity Type | Individual |
| Full Name | DAVID JACK HALE |
| Credential | M.S. |
| Practice Address |
4905 Telephone Rd Pascagoula MS 39567-1823 |
| Mailing Address |
3407 Shamrock Ct Gautier MS 39553-5337 |
| Practice Telephone | 2287691280 |
| Mailing Telephone | 2284970690 |
| Mailing Fax Number | 2284971363 |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00018214 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952523375 | David Allen Hale | Psychiatry & Neurology | 550 Redmond Road, Rome, GA 30165 | 2007-05-03 |
| 1104040989 | David B Hale | Psychologist | 10562 Ranchwood Dr, Baton Rouge, LA 70815-5040 | 2007-04-12 |
| 1154948388 | David Samuel Archer Hale | Pharmacist | 3148 W 3500 S, West Valley City, UT 84119-3634 | 2020-07-04 |
| 1386270700 | David Jerry Hale Jr. | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-03-17 |
| 1972064897 | David Edward Hale Jr. | Student in an Organized Health Care Education/Training Program | 22 S Greene St Rm N3e09, Baltimore, MD 21201-1544 | 2019-03-26 |
| 1598059909 | David G. Hale | Pediatrics | 425 S Hunt Club Blvd, Suite 1051, Apopka, FL 32703-4947 | 2011-06-02 |
| 1124139993 | David W Hale Jr. | Emergency Medicine | 351 Court St, Abingdon, VA 24210-2921 | 2006-08-31 |
| 1811943509 | David B Hale | Emergency Medicine | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2006-05-25 |
| 1891748273 | David J Hale | Internal Medicine | 800 Biesterfield Rd Ste G01, Wimmer Building, Elk Grove Village, IL 60007-3372 | 2006-05-18 |
| Street Address |
4905 TELEPHONE RD |
| City | PASCAGOULA |
| State | MS |
| Zip Code | 39567-1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470121 | Hannah Olivia Booker | Peer Specialist | 4905 Telephone Rd, Pascagoula, MS 39567-1823 | 2020-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316439615 | Quad/med, LLC | Clinic/Center | 1000 Jere St. Pe' Hwy, C/o Ingalls Main Substation, 1st Floor, Pascagoula, MS 39567 | 2018-06-01 |
| 1477948107 | Market Place Pharmacy, LLC | Pharmacy | 1965 Market Street, Pascagoula, MS 39567 | 2015-03-31 |
| 1518382266 | Randy S Kirksey | Social Worker | 1017 Farnworth Ave, Pascagoula, MS 39567 | 2014-03-04 |
| 1063710747 | Hinman Chiropractic Care, Pa | Chiropractor | 3215 Market Street, Pascagoula, MS 39567 | 2011-03-04 |
| 1215232830 | Jessica E Shores | Military Health Care Provider | 1000 Access Rd Bldg 2026, Pascagoula, MS 39567 | 2011-01-12 |
| 1912214438 | Walker Chiropractic Center, Pllc | Chiropractor | 1408 Ingalls Ave, Pascagoula, MS 39567 | 2010-09-03 |
| 1386979961 | South Mississippi Ear, Nose and Throat | Otolaryngology | 2525 Telephone Road, Pascagoula, MS 39567 | 2009-10-15 |
| 1720299415 | James H Halbrook | Dentist | 2202 Old Mobile Hwy, Pascagoula, MS 39567 | 2007-05-24 |
| 1871624627 | Thayne Christopher Griener | Otolaryngology | 2812 Andrews Avenue, Pascagoula, MS 39567 | 2007-03-07 |
| 1447318159 | Ada Ruth Bosarge | Physical Therapist | 2838 Andrew St, Pascagoula, MS 39567 | 2006-12-05 |
| Find all providers in zip 39567 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316466840 | John David Harry | Counselor | 3901 Chicot St, Pascagoula, MS 39581-4320 | 2017-09-15 |
| 1427534221 | Serendipity Mph | Counselor | 4305 Denny Ave, Pascagoula, MS 39581-5509 | 2018-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952665 | John Cate Owen | Counselor | 2525 Lakeward Dr Ste 400, Jackson, MS 39216-4827 | 2020-11-04 |
| 1356948277 | Tiffany Nicole Dear | Counselor | 28 Dobby Ln, Hattiesburg, MS 39402-7044 | 2020-10-04 |
| 1679184089 | Amy Danielle Styron | Counselor | 770 Golding Rd, Columbus, MS 39702-7866 | 2020-08-11 |
| 1871115089 | Bernard Anthony Matherne Jr. | Counselor | 226 Lowe Lane, Lucedale, MS 39452-4313 | 2020-05-11 |
| 1003472838 | Chameleon Davis | Counselor | 71 Sharkey Rd, Glendora, MS 38928-2531 | 2019-05-16 |
| 1255821666 | Ashley Hall | Counselor | 1989 Pass Rd Ste B, Biloxi, MS 39531-4103 | 2018-05-11 |
| 1194213132 | Alicia Nicole Danley | Counselor | 8900 Delta Bluff Cv, Walls, MS 38680-4400 | 2018-04-25 |
| 1235632696 | Impact Behavioral Counseling LLC | Counselor | 3600 Bluecutt Rd Ste 202, Columbus, MS 39705-1303 | 2018-03-13 |
| 1164923769 | Janice Lyons | Counselor | 1701 White St # 768, Mccomb, MS 39648-2711 | 2018-02-28 |
| 1275043721 | Georgetta Lynn Langley | Counselor | 7400 Fountainbleau Rd, Ocean Springs, MS 39564-8473 | 2017-10-10 |
| Find all providers with the same taxonomy | ||||
| City | PASCAGOULA |
| Zip Code | 39567 |
Please comment or provide details below to improve the information on DAVID JACK HALE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.