MR. ERIC KEITH HARDISON LPC CSAC NPI 1740359926

NPI Information

NPI: 1740359926
Provider Name: MR. ERIC KEITH HARDISON, LPC, CSAC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1769 JAMESTOWN RD STE 206
WILLIAMSBURG, VA
ZIP 23185
Phone: (804) 832-4409
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MR. Eric Keith Hardison, LPC, CSAC is a professional counselor in Williamsburg, VA. MR. Eric Keith Hardison, LPC, CSAC NPI is 1740359926. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1769 JAMESTOWN RD STE 206
WILLIAMSBURG, VA
ZIP 23185-307
Phone: (804) 832-4409

The enumeration date for this NPI number is 11/6/2006 and was last updated on 9/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	0710102016	VIRGINIA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	11875	TEXAS	No
3	101YP2500X	Counselor	Professional	70174	TEXAS	No
4	101YP2500X	Counselor	Professional	0701003908	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	010236169	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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