Mandy Nichole Hart, LPC

Individual provider Active NPI Mental Health Counselor · Silverthorne, CO

NPI 1124106372 · NPPES record last updated Mar 15, 2022

Key facts

NPI
1124106372
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
18336 (TX)
Practice address
358 Blue River Pkwy Unit E-95
Silverthorne, CO 80498-5558
Phone
(512) 431-4558
Fax
(512) 777-2982
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
18336TXMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 18336 TX Yes

Addresses

Primary practice location

358 Blue River Pkwy Unit E-95
Silverthorne, CO 80498-5558

Mailing address

PO Box 2301-95
Silverthorne, CO 80498-9218
Phone (512) 431-4558

Other providers in Silverthorne, CO

All providers in Silverthorne, CO · Mental Health Counselor in Colorado

Sources for this page

Verify at the official NPI Registry.