SearchOhio103TM1800X

Jibreel Hazly

NPI 1417559287 · on the registry since 2020 · sole proprietor

Practice

Address
1225 N Main St
Canton, OH 44720
Phone
(330) 618-5246
Organisation at this address
Beautiful Minds Group Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
103TM1800X
103TM1800X
Also registered as
106S00000X
251E00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio