Provider Demographics
NPI:1962074708
Name:HOOVEN, HAZEL (LPC, LMHC)
Entity type:Individual
Prefix:
First Name:HAZEL
Middle Name:
Last Name:HOOVEN
Suffix:
Gender:F
Credentials:LPC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 SPENRYN DR STE A
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-1891
Mailing Address - Country:US
Mailing Address - Phone:256-631-3650
Mailing Address - Fax:
Practice Address - Street 1:103 SPENRYN DR STE A
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-1891
Practice Address - Country:US
Practice Address - Phone:256-631-3650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-12
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39001912A101YM0800X
GALPC012331101YP2500X
AL4447101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health