Hardison, Eric Keith

Hardison, Eric Keith is an sole proprietor health care provider with primary practice located at 1769 Jamestown Rd Ste 206 , Williamsburg VA 23185-2307. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Hardison, Eric Keith can be contacted via phone (804) 832-4409.

Contact Information

Primary practice address
1769 Jamestown Rd Ste 206 Williamsburg VA 23185-2307
Phone: (804) 832-4409
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0710102016 Virginia
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 11875 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 70174 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701003908 Virginia

Profile Details

NPI number 1740359926
LBN Legal business name Hardison, Eric Keith
Credentials LPC, CSAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2006
Last updated Sep 10th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740359926 NPPES
Virginia MEDICAID 010236169

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