TINA HAZLEWOOD M.S. NPI 1770809063

NPI Information

  • NPI: 1770809063
  • Provider Name: TINA HAZLEWOOD, M.S.
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4646 POPLAR AVE STE 411
    MEMPHIS, TN
    ZIP 38117
  • Phone: (901) 517-1164

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NPI Details

Tina Hazlewood, M.S. is a mental health counselor in Memphis, TN with 15 years of experience. Tina Hazlewood, M.S. NPI is 1770809063. 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:

4646 POPLAR AVE STE 411
MEMPHIS, TN
ZIP 38117-434
Phone: (901) 517-1164
Fax: (901) 284-0570

The NPI 1770809063 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/13/2010 and was last updated on 10/5/2022.

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
1101YP2500XCounselorProfessionalNo
2101YM0800XCounselorMental 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

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