Organization
JACK HAZAN LLC
Active
Organization
JACK HAZAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK HAZAN LMHC CSAT (OWNER)
(917) 453-9306
Entity
Organization
Contact information
Practice address
1504 BAY RD APT 2003, MIAMI BEACH, FL 33139-3277
(646) 692-0761
Mailing address
401 W 25TH ST APT 13C, NEW YORK, NY 10001-6575
(917) 453-9306
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/03/2023
Last updated
04/02/2026
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