{
"Npi": {
"NPI": "1265929517",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HARDLEY",
"FirstName": "KEYNIA",
"MiddleName": "DIONNE",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "LMFT",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "863 DUNCAN RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OXFORD",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30054-3679",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "678-372-6779",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "8218 HAZELBRAND RD NE STE A",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "COVINGTON",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30014-1516",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "678-609-8203",
"PracticeLocationAddressFaxNumber": "678-729-8006",
"EnumerationDate": "04/21/2018",
"LastUpdateDate": "08/18/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "0001624",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}