Provider Demographics
NPI:1396623765
Name:HARDIN, IMANI J
Entity type:Individual
Prefix:
First Name:IMANI
Middle Name:J
Last Name:HARDIN
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 1:9502 TASCATE DR
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-4153
Mailing Address - Country:US
Mailing Address - Phone:210-315-3496
Mailing Address - Fax:210-315-3496
Practice Address - Street 1:3501 FORBES AVE STE 900
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3326
Practice Address - Country:US
Practice Address - Phone:412-246-5910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty