Denetra L Hardy, LPC
Individual provider Active NPI Professional Counselor · Glenwood, IL
NPI 1003483041 · NPPES record last updated Jul 12, 2021
Key facts
- NPI
- 1003483041
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 178001961 (IL)
- Practice address
- 302 S Willow St
Glenwood, IL 60425-1826 - Phone
- (708) 785-7810
- NPI assigned
- Jun 8, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178001961 | IL | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178001961 | IL | Yes |
Addresses
Primary practice location
302 S Willow St
Glenwood, IL 60425-1826
Mailing address
302 S Willow St
Glenwood, IL 60425-1826
Phone (708) 785-7810
Other providers in Glenwood, IL
- Guameda Eady
- Genesis Cila Homes Inc
- Glenwood Healthcare & Rehab, Inc
- Glenwood Healthcare and Rehab
- Kenyetta Hall
- Arteasia Harris
- Health Providers
- Kayla Henry
- Vivian Diane Hudson-Davis
- Inspire Greatness Within, Inc.
All providers in Glenwood, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.