Provider Demographics
NPI:1740309939
Name:CINDY B. HARDWICK, LLC
Entity type:Organization
Organization Name:CINDY B. HARDWICK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:BAILEY
Authorized Official - Last Name:HARDWICK
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, NCC, NBCCH
Authorized Official - Phone:813-964-5792
Mailing Address - Street 1:3910 NORTHDALE BLVD STE 208
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33624-1800
Mailing Address - Country:US
Mailing Address - Phone:813-964-5792
Mailing Address - Fax:813-961-5919
Practice Address - Street 1:3910 NORTHDALE BLVD STE 208
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33624-1800
Practice Address - Country:US
Practice Address - Phone:813-964-5792
Practice Address - Fax:813-961-5919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLLMHC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty