Provider Demographics
NPI:1053454827
Name:HAZNEDAR, BINNUR (LPC, LMFT, LCDC)
Entity type:Individual
Prefix:
First Name:BINNUR
Middle Name:
Last Name:HAZNEDAR
Suffix:
Gender:F
Credentials:LPC, LMFT, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 130154
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77219-0154
Mailing Address - Country:US
Mailing Address - Phone:713-256-1127
Mailing Address - Fax:713-521-2532
Practice Address - Street 1:1702 HAZARD ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77019-5719
Practice Address - Country:US
Practice Address - Phone:713-256-1127
Practice Address - Fax:713-521-2532
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2018-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11553101YM0800X
TX3436106H00000X
TX1693101YA0400X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX153738301Medicaid
TX153738302Medicaid
TX095911605Medicaid