Provider Demographics
NPI:1649781600
Name:HARDT, DENISE CRISTINA (CMHP)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:CRISTINA
Last Name:HARDT
Suffix:
Gender:F
Credentials:CMHP
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:CRISTINA
Other - Last Name:HARDT PIRES CALLAO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2233 N COMMERCE PKWY
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-3252
Mailing Address - Country:US
Mailing Address - Phone:954-217-1757
Mailing Address - Fax:954-385-3807
Practice Address - Street 1:2233 N COMMERCE PKWY
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-3252
Practice Address - Country:US
Practice Address - Phone:954-217-1757
Practice Address - Fax:954-385-3807
Is Sole Proprietor?:No
Enumeration Date:2017-10-18
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCMHP100001101YM0800X
FL17-30416106S00000X
FL1-19-34933103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician