Hardy, Jamila Shafawn
Hardy, Jamila Shafawn is an sole proprietor health care provider with primary practice located at 1320 Washington Blvd , Cleveland OH 44124. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Hardy, Jamila Shafawn can be contacted via phone (216) 727-2086.Contact Information
Primary practice address
1320 Washington Blvd
Cleveland OH 44124
Phone: (216) 727-2086
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | ||
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 165745 | Ohio |
Profile Details
| NPI number | 1508371238 |
|---|---|
| LBN Legal business name | Hardy, Jamila Shafawn |
| Credentials | CDCA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 4th, 2017 |
| Last updated | Aug 4th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508371238 | NPPES |
| Ohio | Other | 165745 | OHIO BOARD OF COUNELORS |
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