Provider Demographics
NPI:1124483003
Name:HARDY, TOMIKA D (MSW, LMSW, THD, CIT)
Entity type:Individual
Prefix:DR
First Name:TOMIKA
Middle Name:D
Last Name:HARDY
Suffix:
Gender:F
Credentials:MSW, LMSW, THD, CIT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 HERITAGE DR
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71112-8719
Mailing Address - Country:US
Mailing Address - Phone:318-349-8727
Mailing Address - Fax:
Practice Address - Street 1:2219 CLAIBORNE AVE
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71103-4301
Practice Address - Country:US
Practice Address - Phone:318-779-0434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-21
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5425101YA0400X
LA16983104100000X
171M00000X
LA16953104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171M00000XOther Service ProvidersCase Manager/Care Coordinator