Individual
CARLA L HARDY, MED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT,LPC
Contact information
Practice address
12300 FORD RD STE 190, DALLAS, TX 75234-8111
(832) 794-1621
Mailing address
3401 N BAY BREEZE LN, FORT WORTH, TX 76179-3849
(832) 794-1621
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6082
TX
106H00000X
Marriage & Family Therapist
Primary
1841
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841
LMFT
TX
01
—
1940
NBCCHYPNOSIS
—
01
—
6082
LPC
TX
Enumeration date
04/04/2007
Last updated
07/15/2009
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