Provider Demographics
NPI:1548277379
Name:HART, VONYA (LPC)
Entity type:Individual
Prefix:MRS
First Name:VONYA
Middle Name:
Last Name:HART
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:VONYA
Other - Middle Name:
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:1519 FLORENCE RD STE 14
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76541-7903
Mailing Address - Country:US
Mailing Address - Phone:254-618-5744
Mailing Address - Fax:254-501-7365
Practice Address - Street 1:1519 FLORENCE RD STE 14
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76541-7903
Practice Address - Country:US
Practice Address - Phone:254-618-5744
Practice Address - Fax:254-501-7365
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19999101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health