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NPI Code Detail

MEDICARE: MS. LOTA M. HARDIN LPC

MEDICARE:  MS. LOTA M. HARDIN  LPC
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
1101YP2500XProfessional CounselorP0512068AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11194703389OTHERNOVASYS
22274504OTHERARCIGNA BEHAVIORAH HEALTH
3990371OTHERARUSA MANAGED CARE
41194703389OTHERTRICARE
5830935000OTHERARMAGELLAN
61194703389OTHERVALUE OPTIONS
7374544OTHERARMHN
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
906010017000OTHERARQUAL-CHOICE
101194703389OTHERUNITY MGED MENTAL HEALTH
1171-0401764OTHERARCORPHEALTH
125Y664OTHERARBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1194703389
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LOTA M. HARDIN LPC
Provider Business Mailing Address
First Line : 125 DONS WAY
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71913
Country : US
Telephone Number : 501-620-5130
Fax Number : 501-620-5109
Provider Business Practice Location Address
First Line : 1615 MARTIN LUTHER KING BLVD
Second Line :
City : MALVERN
State : AR
Zip : 72104-2233
Country : US
Telephone Number : 501-332-5236
Fax Number : 501-620-5109
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2006
Last Update Date : 12/19/2008

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Directions to “ MS. LOTA M. HARDIN LPC” Practice Location

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