Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Thembani Timothy Hlazo-Threadgill

Individual provider Professional Counselor · NPI 1184553042

Mr. Thembani Timothy Hlazo-Threadgill is a Mental Health Counselor in Glendale, Arizona. Qualified in 2018, 8 years ago. Practices as a sole proprietor. Licensed in Arizona.

Years since qualifying
8
Licensed in
AZ
In the registry since
2026
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Practice location Address checks out

6040 W Crocus Dr
Glendale, AZ 85306-4137
Phone: (623) 640-3105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC-24760 (AZ)

Record details

NPI number1184553042
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 18, 2026
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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