Provider Demographics
NPI:1396160818
Name:CAPEHART-HALL, LAURA
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:CAPEHART-HALL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 PINE STREET
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038
Mailing Address - Country:US
Mailing Address - Phone:617-852-6782
Mailing Address - Fax:
Practice Address - Street 1:98 PINE ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-2625
Practice Address - Country:US
Practice Address - Phone:617-852-6782
Practice Address - Fax:508-590-0484
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-19
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
MA9395101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health