Individual provider · Type 1 NPI

Mallory Renae Hale, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Southlake, TX

NPI number 1235600156 Active

Practice location

2271 E Continental Blvd Ste 100
Southlake, TX 76092-9793

Fax (817) 775-4401

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAP139974 (TX)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1235600156

Mallory Renae Hale, PMHNP-BC's National Provider Identifier is 1235600156, issued on Dec 17, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Southlake, TX. The record was last updated on Jun 5, 2025.