Organization · Type 2 NPI

Jack Hazan LLC

Community/Behavioral Health Agency · Miami Beach, FL

NPI number 1508639279 Active

Practice location

1504 Bay Rd Apt 2003
Miami Beach, FL 33139-3277

Mailing address

401 W 25th St Apt 13C
New York, NY 10001-6575

Other practice locations

  • 16 E 41st St Ste 5C, New York, NY 10017-6217 · (646) 692-0761
  • 401 W 25th St Apt 13C, New York, NY 10001-6575 · (917) 453-9306

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1508639279

Jack Hazan LLC's National Provider Identifier is 1508639279, issued on Nov 3, 2023. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Miami Beach, FL. The record was last updated on Apr 2, 2026.