Individual provider · Type 1 NPI

Heaven K. Hazzard

Mental Health Counselor · Bloomington, IL

NPI number 1215869151 Active

Practice location

108 W Market St
Bloomington, IL 61701-3918

Call (309) 827-5351 Map

Fax (309) 829-6808

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1215869151

Heaven K. Hazzard's National Provider Identifier is 1215869151, issued on Jun 3, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bloomington, IL. The record was last updated on Jun 3, 2026.