Provider Demographics
NPI:1801384466
Name:HARDIN, TIM D
Entity Type:Individual
Prefix:
First Name:TIM
Middle Name:D
Last Name:HARDIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 MILLVILLE OXFORD RD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-9145
Mailing Address - Country:US
Mailing Address - Phone:513-304-6778
Mailing Address - Fax:
Practice Address - Street 1:2301 MILLVILLE OXFORD RD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-9145
Practice Address - Country:US
Practice Address - Phone:513-304-6778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-28
Last Update Date:2018-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)