The Hazel Counseling Center for Families and Children, PLLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

8802 Issued in FL

Legal business name

THE HAZEL COUNSELING CENTER FOR FAMILIES AND CHILDREN, PLLC

Practice address

2441 WSR 426
Suite 1031
Oviedo, FL 32765-4516

Phone

(407) 365-1199

Fax

(407) 365-1177

NPI assigned

May 4, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Connie Dawson, LMHC

Title

Clinical Director

Phone

(407) 365-1199

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1083140586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 WSR 426",
            "address_2": "SUITE 1031",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327654516",
            "telephone_number": "407-365-1199",
            "fax_number": "407-365-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 WSR 426",
            "address_2": "SUITE 1031",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327654516",
            "telephone_number": "407-365-1199",
            "fax_number": "407-365-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HAZEL COUNSELING CENTER FOR FAMILIES AND CHILDREN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-04",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "407-365-1199",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "FL",
            "license": "8802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.