CALLIE HAZELGROVE NPI 1710761432

NPI Information

  • NPI: 1710761432
  • Provider Name: CALLIE HAZELGROVE
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 1113 S MILWAUKEE AVE
    LIBERTYVILLE, IL
    ZIP 60048
  • Phone: (847) 461-8152

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NPI Details

Callie Hazelgrove is a mental health counselor in Libertyville, IL. Callie Hazelgrove NPI is 1710761432. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1113 S MILWAUKEE AVE
LIBERTYVILLE, IL
ZIP 60048-758
Phone: (847) 461-8152
Fax: (847) 461-8152

The enumeration date for this NPI number is 8/23/2023 and was last updated on 8/23/2023.

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: 3/30/2025

NPI Synchronization or Removal

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