Jay, Hazel

Jay, Hazel is an sole proprietor health care provider with primary practice located at 6714 Highway 85 # A , Riverdale GA 30274-2383. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Jay, Hazel can be contacted via phone (510) 415-2089.

Contact Information

Primary practice address
6714 Highway 85 # A Riverdale GA 30274-2383
Phone: (510) 415-2089
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1538930235
LBN Legal business name Jay, Hazel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2024
Last updated Jan 11th, 2024 - about 11 months 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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