Provider Demographics
NPI:1982348900
Name:HARTMAN, NINA (LMHC)
Entity Type:Individual
Prefix:
First Name:NINA
Middle Name:
Last Name:HARTMAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 JOLIET ST STE 300
Mailing Address - Street 2:
Mailing Address - City:DYER
Mailing Address - State:IN
Mailing Address - Zip Code:46311-1771
Mailing Address - Country:US
Mailing Address - Phone:312-206-2222
Mailing Address - Fax:
Practice Address - Street 1:425 JOLIET ST STE 300
Practice Address - Street 2:
Practice Address - City:DYER
Practice Address - State:IN
Practice Address - Zip Code:46311-1771
Practice Address - Country:US
Practice Address - Phone:312-206-2222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-26
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39004199A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty