Organization
HAZEL HEALTH SERVICES NORTHEAST PC
Active
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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