MS. LOTA M. HARDIN (NPI# 1194703389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194703389 |
| Entity Type | Individual |
| Full Name | MS. LOTA M. HARDIN |
| Credential | LPC |
| Practice Address |
1615 Martin Luther King Blvd Malvern AR 72104-2233 |
| Mailing Address |
125 Dons Way Hot Springs AR 71913 |
| Practice Telephone | 5013325236 |
| Practice Fax Number | 5016205109 |
| Mailing Telephone | 5016205130 |
| Mailing Fax Number | 5016205109 |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2008-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
P0512068 | AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VALUE OPTIONS | 1194703389 | 01 | |
| AR | BLUE CROSS BLUE SHIELD | 5Y664 | 01 |
| NOVASYS | 1194703389 | 01 | |
| AR | QUAL-CHOICE | 06010017000 | 01 |
| AR | 116399726 | 05 | |
| AR | CORPHEALTH | 71-0401764 | 01 |
| AR | MHN | 374544 | 01 |
| AR | USA MANAGED CARE | 990371 | 01 |
| AR | MAGELLAN | 830935000 | 01 |
| AR | CIGNA BEHAVIORAH HEALTH | 2274504 | 01 |
| TRICARE | 1194703389 | 01 | |
| UNITY MGED MENTAL HEALTH | 1194703389 | 01 |
| Street Address |
1615 MARTIN LUTHER KING BLVD |
| City | MALVERN |
| State | AR |
| Zip Code | 72104-2233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295346757 | Bonnie Lynn Mann | Case Manager/Care Coordinator | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2020-08-10 |
| 1245873710 | Johna Grant | Behavior Technician | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2019-10-28 |
| 1013567338 | Brittney Mcgriff | Case Manager/Care Coordinator | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2019-09-18 |
| 1598319303 | Shatoria Brianne Johnson | Case Manager/Care Coordinator | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2019-07-30 |
| 1841764040 | Maronica Howard | Behavior Technician | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2019-01-22 |
| 1962996413 | Mariah Brown | Counselor | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2018-06-19 |
| 1861984957 | Adela Hernandez | Social Worker | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2018-06-04 |
| 1104365824 | Ryan Zotz | Case Manager/Care Coordinator | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2017-02-14 |
| 1154771483 | Brittany Olloway | Behavior Technician | 1615 Martin Luther King Blvd, Malvern, AR 72104 | 2016-06-17 |
| 1124463344 | William Chad Langford | Case Manager/Care Coordinator | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2013-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659907707 | Terrence Randell Mitchell | Prosthetist | 991 Mount Willow Rd., Malvern, AR 72104 | 2020-03-20 |
| 1356837959 | American Oncology Partners, P.a. | Internal Medicine | 1001 Schneider Dr Ste 105, Malvern, AR 72104 | 2018-07-06 |
| 1114262839 | Charloda Nolen | Case Manager/Care Coordinator | 1710 E Page, Malvern, AR 72104 | 2012-12-06 |
| 1427349257 | Malvern Physical Therapy and Wellness | Physical Therapist | 1601 Hwy 270 W, Suite 104, Malvern, AR 72104 | 2011-04-27 |
| 1194037069 | Alternative Opportunities | Community/Behavioral Health | 1519 East Page Avenue, Malvern, AR 72104 | 2010-07-08 |
| 1285878991 | Pro-active Rehab Inc. | Physical Therapist | 720 Walco Rd, Suite 240, Malvern, AR 72104 | 2009-04-24 |
| 1932380599 | Vallerie Ahart | Licensed Practical Nurse | 1022 East Page, Malvern, AR 72104 | 2007-11-23 |
| 1104013598 | Vivian Brown | Home Health Aide | 913 Magnolia, Malvern, AR 72104 | 2007-09-28 |
| 1467665919 | Annette Jean Bowersox | Registered Nurse | 1399 Jenny Road, Malvern, AK 72104 | 2007-05-08 |
| 1730305798 | Jacqueline Kilgore LLC | Skilled Nursing Facility | 912 Section Line St, Malvern, AR 72104 | 2007-04-18 |
| Find all providers in zip 72104 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513078 | Stephanie Brooks Pirozzi | Counselor | 39 Sagewood Dr, Malvern, PA 19355-2234 | 2020-09-23 |
| 1013566454 | Illumination Counseling Services, LLC | Counselor | 5 Great Valley Pkwy Ste 210, Malvern, PA 19355-1426 | 2019-09-09 |
| 1174177315 | Paramount Counseling Services LLC. | Counselor | 906 Dyer St, Malvern, AR 72104-5253 | 2019-07-25 |
| 1568945996 | Rebecca Anne Tavangar | Counselor | 1879 Covered Bridge Rd, Malvern, PA 19355-9761 | 2018-09-11 |
| 1275083156 | Michele Amen | Counselor | 4 Goshorn Dr, Malvern, PA 19355-2612 | 2016-10-04 |
| 1528463338 | Michael D. Corcoran | Counselor | 101 Lindenwood Dr Ste 225, Malvern, PA 19355-1762 | 2014-10-23 |
| 1073759072 | Jane Marie Hart | Counselor | 505 Monument Ave, Malvern, PA 19355-2634 | 2008-12-21 |
| 1952565236 | Margaret Gosse Miros | Counselor | 27 Fahnestock Rd, Malvern, PA 19355-2104 | 2008-07-15 |
| 1316101231 | Donna M Radl | Counselor | 530 Clothier Springs Rd, Malvern, PA 19355-8613 | 2008-07-10 |
| 1316148281 | Katie J Gillespie | Counselor | 2272 Yellow Springs Rd, Malvern, PA 19355-8763 | 2007-05-30 |
| Find all providers in MALVERN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.