Cindy Hardy, EDD, MAC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC009820 Issued in GA

Practice address

120 MLK Sr Heritage TRL Ste 110
Stockbridge, GA 30281-3411

Phone

(770) 990-2453

Fax

(706) 553-8306

NPI assigned

Nov 25, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• I.M. Wellness Center, LLC

  • Adult Mental Health Clinic/Center
  • Stockbridge, GA
  • NPI 1659869626
  NPD (past) Authorized official

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

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544227200000",
    "number": "1235503418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 REDHEAD CT",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302814473",
            "telephone_number": "678-209-2394",
            "fax_number": "706-553-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MLK SR HERITAGE TRL STE 110",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813411",
            "telephone_number": "770-990-2453",
            "fax_number": "706-553-8306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1057 Redhead Ct",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302814473",
            "country_code": "US",
            "telephone_number": "770-990-2453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDY",
        "first_name": "CINDY",
        "name_prefix": "Dr.",
        "credential": "EDD, MAC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-25",
        "last_updated": "2018-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "58595",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "780",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC009820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Okera S Hanshaw, M.D.
• Kaylee Hanson
• Christina Hardaway
• Christi Perry Hardeman, LCSW
• Khadijah Hardiman, LPC
• Marcia Harmon, CNM
• Richard Alan Harpe, PHARMACIST
• Antoinette Leona Harper, DNP, APRN, FNP-C
• Fitzclarence N Harper, MD
• Harper'S Concepts and Solutions

• Professional Counselor in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2018; 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.