Provider Demographics
NPI:1669835435
Name:HARDEE, DONNA KAYE (MS, LCMHC)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:KAYE
Last Name:HARDEE
Suffix:
Gender:F
Credentials:MS, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 NEWGATE ST
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28358-2640
Mailing Address - Country:US
Mailing Address - Phone:910-736-5244
Mailing Address - Fax:
Practice Address - Street 1:604 N CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-5553
Practice Address - Country:US
Practice Address - Phone:910-736-5244
Practice Address - Fax:833-845-0972
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-30
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA12171101YP2500X
NC12171101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC12171OtherNORTH CAROLINA BOARD OF LICENSED CLINICAL MENTAL HEALTH COUNSELORS
A12171OtherLPCA