Organization
CORYLUS CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HAZEL LPC (COUNSELOR / OWNER)
(913) 558-5194
Entity
Organization
Contact information
Practice address
250 MAIN AVE N STE B, TWIN FALLS, ID 83301-6102
(913) 558-5194
Mailing address
1508 MAPLE AVE, TWIN FALLS, ID 83301-6641
(913) 558-5194
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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