Provider Demographics
NPI:1346600871
Name:HARDIN, MICHAEL (MA, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:HARDIN
Suffix:
Gender:M
Credentials:MA, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:631 S DEPEW ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-4845
Mailing Address - Country:US
Mailing Address - Phone:303-547-0743
Mailing Address - Fax:
Practice Address - Street 1:631 S DEPEW ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-4845
Practice Address - Country:US
Practice Address - Phone:303-547-0743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-25
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0013162101YP2500X
103TE1100X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103TE1100XBehavioral Health & Social Service ProvidersPsychologistExercise & Sports
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist