MEDICARE: HAZAEL HEALTH GROUP CORP

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1518814631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAZAEL HEALTH GROUP CORP

Provider Business Mailing Address
First Line	:	9005 N 29TH AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85051-3465
Country	:	US
Telephone Number	:	602-708-2897
Fax Number	:

Provider Business Practice Location Address
First Line	:	9005 N 29TH AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85051-3465
Country	:	US
Telephone Number	:	602-708-2897
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	GARMEI SACKOR
Credential	:
Telephone Number	:	602-708-2897

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	04/02/2026

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Directions to “HAZAEL HEALTH GROUP CORP ” Practice Location

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