Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON LEA HALL, BA
Active Sole ProprietorSHANNON LEA HALL, BA is a Substance Abuse Rehabilitation Facility healthcare provider located in ARDMORE, Oklahoma. NPI 1053101899 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · ARDMORE, OK
Registration Details
- NPI Number
- 1053101899
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 6, 2025 (1.3074981166631 yrs)
- Last Updated
- May 6, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
1004 REPUBLIC STARDMORE, OK, 734014555Browse OK providers · Browse ZIP 73401
- Phone
- 5807683240
- Fax
- 5807683240
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
Other Substance Abuse Rehabilitation Facility Providers in ARDMORE, OK
| Name | Credential | NPI |
|---|---|---|
| MARTIN MAYTUBBY SR. | — | 1083923213 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.