MEDICARE: MISS SHAYLA HARDY

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
1	101YM0800X	Mental Health Counselor	10001113-06	OH

General Provider Information

NPI Number	:	1235087248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS SHAYLA HARDY

Provider Business Mailing Address
First Line	:	4032 N MAIN ST
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45405-1611
Country	:	US
Telephone Number	:	937-723-8475
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 MCCALL ST
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45417-3280
Country	:	US
Telephone Number	:	937-263-6474
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	03/17/2026

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Directions to “ MISS SHAYLA HARDY ” Practice Location

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