Individual provider · Type 1 NPI
D'lisa Hardeman
Professional Counselor · Mansfield, TX
NPI number
1982142584
Active
Practice location
601 Strada Cir Ste 109
Mansfield, TX 76063-3212
Fax (817) 478-6525
Mailing address
PO Box 278
Mansfield, TX 76063-0278
Other practice locations
- 1810 8th Ave, Fort Worth, TX 76110-1352 · (817) 213-6889
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 73254 (TX) |
Professional Counselor: Definition to come...
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About NPI 1982142584
D'lisa Hardeman's National Provider Identifier is 1982142584, issued on Feb 3, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mansfield, TX. The record was last updated on Dec 6, 2022.