Provider Demographics
NPI:1457719718
Name:HARGIS, AZURE (LMSW)
Entity Type:Individual
Prefix:
First Name:AZURE
Middle Name:
Last Name:HARGIS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 MIRAMAR DR
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-8787
Mailing Address - Country:US
Mailing Address - Phone:940-312-7022
Mailing Address - Fax:
Practice Address - Street 1:121 N WOODROW LN
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-6338
Practice Address - Country:US
Practice Address - Phone:940-312-7022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-02
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX613461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical