Provider Demographics
NPI:1932602638
Name:HARTMAN, EVAN ALLYS (LPC)
Entity Type:Individual
Prefix:MRS
First Name:EVAN
Middle Name:ALLYS
Last Name:HARTMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3849 COUNTY ROAD 406
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-4335
Mailing Address - Country:US
Mailing Address - Phone:469-441-6802
Mailing Address - Fax:
Practice Address - Street 1:2770 MAIN ST STE 268
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-4511
Practice Address - Country:US
Practice Address - Phone:469-441-6802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-09
Last Update Date:2018-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75740101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty