Organization
HAZEL'S HEART LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE GOLDEN (OWNER)
(831) 521-4501
Entity
Organization
Contact information
Practice address
719 N NOTRE DAME AVE, SOUTH BEND, IN 46617-2052
(831) 521-4501
Mailing address
330 W COLFAX AVE APT 119, SOUTH BEND, IN 46601-1557
(831) 521-4501
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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