Provider Demographics
NPI:1861976813
Name:TREADWELL, JOANNA HARDMAN (MA, LMFT)
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:HARDMAN
Last Name:TREADWELL
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:923 STAGE RD STE M
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-5157
Mailing Address - Country:US
Mailing Address - Phone:334-591-5377
Mailing Address - Fax:
Practice Address - Street 1:923 STAGE RD STE M
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-5157
Practice Address - Country:US
Practice Address - Phone:334-321-0780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-15
Last Update Date:2018-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALL485101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health