Mrs Hazel Corley King, MSW is a
Counselor - Addiction (substance Use Disorder) based in Jackson, Mississippi. Mrs Hazel Corley King is licensed to practice in Mississippi (license number CO421) and her current practice location is
1500 E Woodrow Wilson Ave, Jackson, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 362-4471.
NPI number for Mrs Hazel Corley King is 1851490353 and her current mailing address is 807 Rutherford Dr, Jackson, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851490353.
Healthcare Provider's Profile
| Full Name | Mrs Hazel Corley King |
|---|
| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 1500 E Woodrow Wilson Ave, Jackson, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1851490353
- Provider Enumeration Date: 09/21/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Hazel Corley King such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851490353 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | CO421 (Mississippi) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CO421 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Hazel Corley King is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Hazel Corley King, MSW
807 Rutherford Dr,
Jackson, MS 39206-2139
Ph: (601) 362-4471 | Mrs Hazel Corley King, MSW
1500 E Woodrow Wilson Ave,
Jackson, MS 39216-5116
Ph: (601) 362-4471 |
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