JACK HAZAN LLC NPI 1508639279

NPI Information

  • NPI: 1508639279
  • Provider Name: JACK HAZAN LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 1504 BAY RD APT 2003
    MIAMI BEACH, FL
    ZIP 33139
  • Phone: (646) 692-0761

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NPI Details

JACK HAZAN LLC is a mental health counselor in Miami Beach, FL. JACK HAZAN LLC NPI is 1508639279. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1504 BAY RD APT 2003
MIAMI BEACH, FL
ZIP 33139-277
Phone: (646) 692-0761

The provider's authorized official is Jack Hazan .
The authorized official title is Owner and has the following contact phone number (917) 453-9306.

The enumeration date for this NPI number is 11/3/2023 and was last updated on 1/5/2024.

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
1101YM0800XCounselorMental HealthYes

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: 11/21/2025

NPI Synchronization or Removal

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