HENRY DAVID HARDT PH D NPI 1174860266

NPI Information

  • NPI: 1174860266
  • Provider Name: HENRY DAVID HARDT PH D
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 4555 LAKE SHORE DR
    WACO, TX
    ZIP 76710
  • Phone: (254) 776-0400

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NPI Details

HENRY DAVID HARDT PH D is an adult mental health clinic center in Waco, TX. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. HENRY DAVID HARDT PH D NPI is 1174860266. The provider is registered as an organization entity type.

The provider's business location address is:

4555 LAKE SHORE DR
WACO, TX
ZIP 76710-814
Phone: (254) 776-0400
Fax: (254) 776-0637

The provider's authorized official is Henry David Hardt .
The authorized official title is Owner/director and has the following contact phone number (254) 776-0400.

The enumeration date for this NPI number is 1/9/2013 and was last updated on 1/9/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder3581-3582TEXASNo
2261QM0850XClinic/CenterAdult Mental Health220734TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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