Individual provider · Type 1 NPI

Shannon Lea Hall, BA

Substance Abuse Rehabilitation Facility · Ardmore, OK

NPI number 1053101899 Active

Practice location

1004 Republic St
Ardmore, OK 73401-4555

Fax (580) 768-3240

Mailing address

144 London Ln
Healdton, OK 73438-3247

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1053101899

Shannon Lea Hall, BA's National Provider Identifier is 1053101899, issued on May 6, 2025. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Ardmore, OK. The record was last updated on May 6, 2025.