Healthcare Provider Details

I. General information

NPI: 1124483003
Provider Name (Legal Business Name): TOMIKA D. HARDY TH.D, MSW, LMSW, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/21/2015
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 MELBOURNE RD
HURST TX
76053-6318
US

IV. Provider business mailing address

1014 FALLGATE DR
SAGINAW TX
76179-6382
US

V. Phone/Fax

Practice location:
  • Phone: 682-202-0591
  • Fax:
Mailing address:
  • Phone: 945-985-2283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number5182
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number119951
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number16953
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: