Provider Demographics
NPI:1912355017
Name:HARDY, MARYMAY V (LMHC)
Entity Type:Individual
Prefix:
First Name:MARYMAY
Middle Name:V
Last Name:HARDY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:MARYMAY
Other - Middle Name:A
Other - Last Name:VILLAPANDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:94-728 LUMIAUAU ST APT 3
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-5083
Mailing Address - Country:US
Mailing Address - Phone:808-699-8759
Mailing Address - Fax:
Practice Address - Street 1:200 N VINEYARD BLVD
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-3950
Practice Address - Country:US
Practice Address - Phone:808-796-6322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-30
Last Update Date:2024-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMHC - 391101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health