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Individual

MS. LOTA M. HARDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1615 MARTIN LUTHER KING BLVD, MALVERN, AR 72104-2233
(501) 332-5236
(501) 620-5109
Mailing address
125 DONS WAY, HOT SPRINGS, AR 71913
(501) 620-5130
(501) 620-5109

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P0512068
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06010017000
QUAL-CHOICE
AR
05
116399726
AR
01
1194703389
NOVASYS
01
2274504
CIGNA BEHAVIORAH HEALTH
AR
01
374544
MHN
AR
01
5Y664
BLUE CROSS BLUE SHIELD
AR
01
71-0401764
CORPHEALTH
AR
01
830935000
MAGELLAN
AR
01
990371
USA MANAGED CARE
AR
Enumeration date
01/06/2006
Last updated
12/19/2008
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