Provider Demographics
NPI:1841201498
Name:HARD, PAUL F (LPC)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:F
Last Name:HARD
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:929 OBRIG AVE
Mailing Address - Street 2:
Mailing Address - City:GUNTERSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35976-1418
Mailing Address - Country:US
Mailing Address - Phone:256-339-4258
Mailing Address - Fax:
Practice Address - Street 1:217 GUNTER AVE
Practice Address - Street 2:
Practice Address - City:GUNTERSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35976-1111
Practice Address - Country:US
Practice Address - Phone:256-582-8880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1604101YP2500X, 101YM0800X
101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51529089OtherBCBS
AL6231054OtherUNITED BEHAVIORAL HEALTH
AL6231055OtherUNITED BEHAVIORAL HEALTH