Provider Demographics
NPI:1396249843
Name:HARTMAN, ABBY KATE (MS, LPC)
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:KATE
Last Name:HARTMAN
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3110 WEBB AVE STE 160
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75205-3503
Mailing Address - Country:US
Mailing Address - Phone:817-894-7741
Mailing Address - Fax:
Practice Address - Street 1:3110 WEBB AVE STE 160
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75205-3503
Practice Address - Country:US
Practice Address - Phone:972-503-6964
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-20
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX82416101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health