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TRACY REENAE HARDAWAY
NPI 1790384709
Counselor - Mental Health in St Petersburg, FL

Active since October 21, 2020
4024 CENTRAL AVE, ST PETERSBURG, FL 33711(727) 327-7656 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tracy Reenae Hardaway NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACY REENAE HARDAWAY (NPI 1790384709) is an individual mental health provider in St Petersburg, Florida and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1790384709
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTRACY REENAE HARDAWAY
Location Address4024 CENTRAL AVESt Petersburg, FL 33711-1239
Mailing AddressPo Box 10970St Petersburg, FL 33733-0970
Phone(727) 327-7656
Sole ProprietorNo
Enumeration DateOctober 21, 2020
NPPES CertifiedOctober 21, 2020
✔ NPI 1790384709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4024 CENTRAL AVE, St Petersburg, FL 33711
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KESHA B. BAKER CM
Case Manager/Care Coordinator
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656
SHIELA LUANNE HAMMOND
Social Worker
4024 CENTRAL AVE
SAINT PETERSBURG, FL 33711
Pinellas County (727) 327-7656
CHRISTOPHER WEST
Case Manager/Care Coordinator
4024 CENTRAL AVE
SAINT PETERSBURG, FL 33711
Pinellas County (727) 300-0063
LYTEASA SHAWNEA WEEKS
Case Manager/Care Coordinator
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656
GERALD BASKIN
Counselor
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656
BRIAN BROLSMA
Case Manager/Care Coordinator
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656
WALTER B BLAKE
Counselor (Mental Health)
4024 CENTRAL AVE
SAINT PETERSBURG, FL 33711
Pinellas County (727) 327-7656
JOMON JOHN THEKKETHOTTIYIL
Social Worker (Clinical)
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracy Hardaway's NPI number?

The NPI number for Tracy Hardaway is 1790384709. It was assigned to this individual provider in the NPPES registry on October 21, 2020.

Where is Tracy Hardaway located?

Tracy Hardaway practices at 4024 Central Ave, St Petersburg, FL 33711. The listed phone number is (727) 327-7656.

What is Tracy Hardaway's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Tracy Hardaway was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.