| Doctor Name: | MARY E HART |
| NPI Number: | 1023109386 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 0701033847 |
| Business Practice Address: | 2215 Langhorne Rd Suite 104 Lynchburg, VA - 245011121 |
| Business Phone Number: | 4344553047 |
| Business Fax Number: | 4349484918 |
| Mailing Address: | 2215 Langhorne Rd, Suite 104 LYNCHBURG |
| State: | VA |
| Postal Code: | 245011121 |
| Phone Number: | 4344553047 |
| Fax Number: | 4349484918 |
| NPI Enumeration Date: | 09/28/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0701033847 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |