Provider Demographics
NPI:1720101074
Name:HARDY, NICHOLE LORING (MED, LADC I)
Entity Type:Individual
Prefix:MRS
First Name:NICHOLE
Middle Name:LORING
Last Name:HARDY
Suffix:
Gender:F
Credentials:MED, LADC I
Other - Prefix:MS
Other - First Name:NICHOLE
Other - Middle Name:LORING
Other - Last Name:MITCHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:482 LOWELL ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01841-4598
Mailing Address - Country:US
Mailing Address - Phone:978-687-4257
Mailing Address - Fax:
Practice Address - Street 1:482 LOWELL ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01841-4598
Practice Address - Country:US
Practice Address - Phone:978-687-4257
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171M00000XOther Service ProvidersCase Manager/Care Coordinator