Hagg, Justice Ivy

Hagg, Justice Ivy is an individual health care provider with primary practice located at 1070 Wilson Rdg , Lake Cormorant MS 38641-9486. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Hagg, Justice Ivy can be contacted via phone (901) 463-8873.

Contact Information

Primary practice address
1070 Wilson Rdg Lake Cormorant MS 38641-9486
Phone: (901) 463-8873
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Tennessee

Profile Details

NPI number 1740980655
LBN Legal business name Hagg, Justice Ivy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2023
Last updated Mar 8th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers