1750196689 NPI number — DR. ZANLANDRIA HARDIN DBA MBA BSW

Table of content: DR. ZANLANDRIA HARDIN DBA MBA BSW (NPI 1750196689)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750196689 NPI number — DR. ZANLANDRIA HARDIN DBA MBA BSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HARDIN
Provider First Name:
ZANLANDRIA
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DBA MBA BSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HARDIN
Provider Other First Name:
ZANLANDRIA
Provider Other Middle Name:
CROSBY
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
DR. Z CROSBY-HARDIN
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1750196689
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/10/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
872 SUSAN CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROCK HILL
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29730-7740
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
803-370-3676
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
872 SUSAN CIR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROCK HILL
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29730-7740
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-370-3676
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/10/2025

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 104100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)