Provider Demographics
NPI:1326562513
Name:HARDY, SARA E (LMHC)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:E
Last Name:HARDY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2722 S SPICEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47401-4347
Mailing Address - Country:US
Mailing Address - Phone:812-219-8559
Mailing Address - Fax:
Practice Address - Street 1:2722 S SPICEWOOD LN
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47401-4347
Practice Address - Country:US
Practice Address - Phone:812-219-8559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39000572A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health