HAZEL MACKEY CENTER NPI 1306992938

NPI Information

NPI: 1306992938
Provider Name: HAZEL MACKEY CENTER
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
1128 S 5TH ST
SPRINGFIELD, IL
ZIP 62703
Phone: (217) 544-0388
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HAZEL MACKEY CENTER is a professional counselor in Springfield, IL. HAZEL MACKEY CENTER NPI is 1306992938. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1128 S 5TH ST
SPRINGFIELD, IL
ZIP 62703-314
Phone: (217) 544-0388
Fax: (217) 544-0391

The provider's authorized official is Barney M Bruzetti .
The authorized official title is Chief Fiscal Officer and has the following contact phone number (217) 544-0388.

The enumeration date for this NPI number is 1/26/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	180-00384	ILLINOIS	Yes
2	101YP2500X	Counselor	Professional		ILLINOIS	X
3	1041C0700X	Social Worker	Clinical		ILLINOIS	X
4	1041C0700X	Social Worker	Clinical		ILLINOIS	X
5	106H00000X	Marriage & Family Therapist			ILLINOIS	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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