Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Tanjela Shavonda Hall

Individual provider Mental Health Counselor · NPI 1669803060

Mrs. Tanjela Shavonda Hall is a Mental Health Counselor in Charlotte, North Carolina. Qualified in 2017, 9 years ago. Practices as a sole proprietor. Licensed in North Carolina.

Years since qualifying
9
Licensed in
NC
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

301 McCullough Dr Ste 400
Charlotte, NC 28262-1336
Phone: (704) 615-8827
Fax: (704) 599-8760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 13823 (NC)
Counselor Taxonomy 101Y00000X

Record details

NPI number1669803060
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 10, 2013
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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