Healthcare Provider Details

I. General information

NPI: 1851219646
Provider Name (Legal Business Name): DARA ARDON HARDYMAN CDCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 SALEM AVE FRNT LOWER
DAYTON OH
45406-2642
US

IV. Provider business mailing address

2063 LEIS RD
MIAMISBURG OH
45342-6705
US

V. Phone/Fax

Practice location:
  • Phone: 937-965-5811
  • Fax: 937-410-3056
Mailing address:
  • Phone: 937-965-5811
  • Fax: 937-410-3056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCAPRE.195450
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: