King, Hazel Corley

King, Hazel Corley is an sole proprietor health care provider with primary practice located at 1500 E Woodrow Wilson Ave , Jackson MS 39216-5116. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. King, Hazel Corley can be contacted via phone (601) 362-4471.

Contact Information

Primary practice address
1500 E Woodrow Wilson Ave Jackson MS 39216-5116
Phone: (601) 362-4471
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CO421 Mississippi
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CO421 Mississippi

Profile Details

NPI number 1851490353
LBN Legal business name King, Hazel Corley
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated Jul 8th, 2007 - about 17 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