Provider Demographics
NPI:1902398738
Name:HARDY, LATOYA MONIQUE
Entity Type:Individual
Prefix:MS
First Name:LATOYA
Middle Name:MONIQUE
Last Name:HARDY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 WESTMEADE DR
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056-7210
Mailing Address - Country:US
Mailing Address - Phone:504-432-9787
Mailing Address - Fax:
Practice Address - Street 1:412 WESTMEADE DR
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-7210
Practice Address - Country:US
Practice Address - Phone:504-432-9787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-06
Last Update Date:2018-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator