Hazeltine, Charlotte A

Hazeltine, Charlotte A is an individual health care provider with primary practice located at 3175 Custer Dr Ste 200 , Lexington KY 40517-4023. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Hazeltine, Charlotte A can be contacted via phone (859) 273-1288.

Contact Information

Primary practice address
3175 Custer Dr Ste 200 Lexington KY 40517-4023
Phone: (859) 273-1288
Fax: (859) 273-1278
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0400 Kentucky

Profile Details

NPI number 1437245826
LBN Legal business name Hazeltine, Charlotte A
Credentials LCSW, CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Feb 25th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437245826 NPPES
Kentucky MEDICAID 7100544800

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