| Doctor Name: | MRS. MANDY NICHOLE HART |
| NPI Number: | 1124106372 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 18336 |
| Business Practice Address: | 15901 Central Commerce Dr Suite 506 Pflugerville, TX - 786602041 |
| Business Phone Number: | 5124314558 |
| Business Fax Number: | 5127772982 |
| Mailing Address: | 15901 Central Commerce Dr, Suite 506 PFLUGERVILLE |
| State: | TX |
| Postal Code: | 786602041 |
| Phone Number: | 5124314558 |
| Fax Number: | 5127772982 |
| NPI Enumeration Date: | 11/02/2006 |
| NPI Last Update Date: | 10/20/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 18336 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |