Provider Demographics
NPI:1497627582
Name:WASHINGTON, HALLE
Entity type:Individual
Prefix:
First Name:HALLE
Middle Name:
Last Name:WASHINGTON
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1229 E PLEASANT RUN RD STE 131
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-4211
Mailing Address - Country:US
Mailing Address - Phone:682-564-1815
Mailing Address - Fax:
Practice Address - Street 1:1212 SINGLETON BLVD APT 2016
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75212-5367
Practice Address - Country:US
Practice Address - Phone:318-272-0240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management