Provider Demographics
NPI:1902361512
Name:HARDY, DONALD FORREST JR (LPC)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:FORREST
Last Name:HARDY
Suffix:JR
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 1:201 BEACON PKWY W STE 400
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-3129
Mailing Address - Country:US
Mailing Address - Phone:205-942-6277
Mailing Address - Fax:205-945-5568
Practice Address - Street 1:201 BEACON PKWY W STE 400
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-3129
Practice Address - Country:US
Practice Address - Phone:205-942-6277
Practice Address - Fax:205-945-5568
Is Sole Proprietor?:No
Enumeration Date:2019-02-07
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3819101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health