MEDICARE: XENIA HATZILIAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor		LA
2	101YM0800X	Mental Health Counselor	LMHC	FL
3	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1962935056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	XENIA HATZILIAS

Provider Business Mailing Address
First Line	:	3604 CANAL ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-6111
Country	:	US
Telephone Number	:	504-822-4333
Fax Number	:

Provider Business Practice Location Address
First Line	:	7643 GATE PKWY STE 104-1017
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-3092
Country	:	US
Telephone Number	:	855-564-2831
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2017
Last Update Date	:	11/07/2025

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Directions to “ XENIA HATZILIAS ” Practice Location

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