Henry David Hardt PH D

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

220734 Issued in TX

Legal business name

HENRY DAVID HARDT PH D

Practice address

4555 Lake Shore Dr
Waco, TX 76710-1814

Phone

(254) 776-0400

Fax

(254) 776-0637

NPI assigned

Jan 9, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Henry David Hardt, PH.D.

Title

Owner/Director

Phone

(254) 776-0400

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1174860266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 LAKE SHORE DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767101814",
            "telephone_number": "254-776-0400",
            "fax_number": "254-776-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 LAKE SHORE DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767101814",
            "telephone_number": "254-776-0400",
            "fax_number": "254-776-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY DAVID HARDT PH D",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "HARDT",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "254-776-0400",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TX",
            "license": "220734",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "TX",
            "license": "3581-3582",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Kaitlyn Henderson, PTA
• Virginia K Henderson, PT
• Betty Hendricks, FNP
• Roger Chad Hendricks, MD
• Brooklyn F Henley
• Morgan Abagayle Henry
• Morgan Jean Henry
• Remmel Henry
• Jenny Hensley
• Lisa Denise Henson, LPN

• Adult Mental Health Clinic/Center in Waco, TX
• Providers in Waco, TX by specialty
• Adult Mental Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.