Hazell, Morgana

Hazell, Morgana is an individual health care provider with primary practice located at 120 Hospital Dr Suite 100, Lebanon MO 65536-9238. She recently has 2 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 / Clinical is her primary health care specialty. Hazell, Morgana can be contacted via phone (417) 820-3128.

Contact Information

Primary practice address
120 Hospital Dr Suite 100 Lebanon MO 65536-9238
Phone: (417) 820-3128
Fax: (417) 820-8616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2011039220 Missouri
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2014001357 Missouri

Profile Details

NPI number 1063784411
LBN Legal business name Hazell, Morgana
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2012
Last updated Feb 5th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063784411 NPPES
Missouri MEDICAID 1063784411

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