Provider Demographics
NPI:1497389068
Name:HARTMAN, RANDI (LPC, NCC, NCSC)
Entity Type:Individual
Prefix:
First Name:RANDI
Middle Name:
Last Name:HARTMAN
Suffix:
Gender:F
Credentials:LPC, NCC, NCSC
Other - Prefix:
Other - First Name:RANDILEE
Other - Middle Name:
Other - Last Name:OZANNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LPC, NCC
Mailing Address - Street 1:818 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:SD
Mailing Address - Zip Code:57201-4861
Mailing Address - Country:US
Mailing Address - Phone:605-880-0100
Mailing Address - Fax:866-668-2697
Practice Address - Street 1:818 S BROADWAY
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:SD
Practice Address - Zip Code:57201-4861
Practice Address - Country:US
Practice Address - Phone:605-880-0100
Practice Address - Fax:866-668-2697
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-23
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLPC20295101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health