Provider Demographics
NPI:1295496867
Name:VALANNDA HAZZARD COUNSELING LLC
Entity type:Organization
Organization Name:VALANNDA HAZZARD COUNSELING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:VALANNDA
Authorized Official - Middle Name:LATICE
Authorized Official - Last Name:HAZZARD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:256-886-8534
Mailing Address - Street 1:2905 WESTCORP BLVD SW STE 213A
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35805-6411
Mailing Address - Country:US
Mailing Address - Phone:256-886-8534
Mailing Address - Fax:
Practice Address - Street 1:2905 WESTCORP BLVD SW STE 213A
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35805-6411
Practice Address - Country:US
Practice Address - Phone:256-886-8534
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-06
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty