Organization · Type 2 NPI
Hazel's Heart LLC
Mental Health Counselor · South Bend, IN
NPI number
1114801602
Active
Practice location
719 N Notre Dame Ave
South Bend, IN 46617-2052
Mailing address
330 W Colfax Ave Apt 119
South Bend, IN 46601-1557
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1114801602
Hazel's Heart LLC's National Provider Identifier is 1114801602, issued on Aug 5, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in South Bend, IN. The record was last updated on Aug 5, 2025.