Provider Demographics
NPI:1487999652
Name:UNC-CHAPEL HILL
Entity type:Organization
Organization Name:UNC-CHAPEL HILL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESEARCH INSTRUCTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HAZZARD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:919-972-7440
Mailing Address - Street 1:UNC CH
Mailing Address - Street 2:101 MANNING DR. CB7167
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-0001
Mailing Address - Country:US
Mailing Address - Phone:919-972-7440
Mailing Address - Fax:919-493-8985
Practice Address - Street 1:UNC CH
Practice Address - Street 2:101 MANNING DR. CB7167
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-0001
Practice Address - Country:US
Practice Address - Phone:919-972-7440
Practice Address - Fax:919-493-8985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-29
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC008049283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital