Hazel Mackey Center

LBN: Hazel Mackey Center
Hazel Mackey Center is an health care organization with primary practice located at 1128 S 5Th St , Springfield IL 62703-2314. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. Hazel Mackey Center can be contacted via phone (217) 544-0388, or through Bruzetti, Barney M via phone (217) 544-0388.

Contact Information

Primary practice address
1128 S 5Th St Springfield IL 62703-2314
Phone: (217) 544-0388
Fax: (217) 544-0391
Website:
Map and Directions
Authorized official contact:
Name: Bruzetti, Barney M CPA
Phone: (217) 544-0388

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180-00384 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X Illinois

Profile Details

NPI number 1306992938
LBN Legal business name Hazel Mackey Center
DBA Doing business as
Authorized official Bruzetti, Barney M CPA
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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