Organization
HAZEL HEALTH SERVICES NORTHEAST PC
Active
Other names
Hazel Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
BRIJIT REIS (PRESIDENT)
(415) 424-4266
Entity
Organization
Contact information
Practice address
1400 HOOPER AVE STE 2, TOMS RIVER, NJ 08753-2981
(415) 424-4266
(415) 520-6633
Mailing address
8300 ESTERS BLVD STE 900, IRVING, TX 75063-2233
(415) 424-4266
(415) 520-6633
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
03/18/2024
Last updated
06/02/2025
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