Mcrae, Hazel Leigh
Mcrae, Hazel Leigh is an sole proprietor health care provider with primary practice located at 101 W Cooperative Way Ste 238 , Georgetown TX 78626-8208. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mcrae, Hazel Leigh can be contacted via phone (512) 865-1320.Contact Information
Primary practice address
101 W Cooperative Way Ste 238
Georgetown TX 78626-8208
Phone: (512) 865-1320
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 12963 | Texas |
Profile Details
| NPI number | 1679582902 |
|---|---|
| LBN Legal business name | Mcrae, Hazel Leigh |
| Credentials | MA, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Oct 22nd, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679582902 | NPPES |
| Texas | MEDICAID | 113045203 |
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