Provider Demographics
NPI:1508687815
Name:HARDY, MARCELINA (MSED, LPC-R)
Entity type:Individual
Prefix:
First Name:MARCELINA
Middle Name:
Last Name:HARDY
Suffix:
Gender:F
Credentials:MSED, LPC-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1637 FALLS BROOK RUN
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-2175
Mailing Address - Country:US
Mailing Address - Phone:757-323-2067
Mailing Address - Fax:
Practice Address - Street 1:1637 FALLS BROOK RUN
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-2175
Practice Address - Country:US
Practice Address - Phone:757-323-2067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-19
Last Update Date:2024-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional