Hardy Behavioral Health LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

HARDY BEHAVIORAL HEALTH LLC

Doing business as

Nicholas Andre Hardy Sole MBR

Practice address

13806 Sandstone Bridge LN
Rosharon, TX 77583-1612

Phone

(901) 550-9585

Fax

(901) 791-4390

NPI assigned

Jul 2, 2024

Last updated

Aug 13, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nicholas Hardy, PH.D., LCSWNPI 1194028662

Title

Owner

Phone

(901) 550-9585

Specialties & licenses 1

Addresses

Other names 1

• Nicholas Andre Hardy Sole MBR Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicholas Hardy, LCSW

  • Clinical Social Worker
  • Rosharon, TX
  • NPI 1194028662
  Medicare reassignment NPD Authorized official
• Belinda Hardy, L.C.S.W.

  • Clinical Social Worker
  • Memphis, TN
  • NPI 1437186145

  TX

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1144066846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13806 SANDSTONE BRIDGE LN",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "775831612",
            "telephone_number": "901-550-9585",
            "fax_number": "901-791-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13806 SANDSTONE BRIDGE LN",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "775831612",
            "telephone_number": "901-550-9585",
            "fax_number": "901-791-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARDY BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-550-9585",
        "authorized_official_credential": "PH.D., LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nicholas Andre Hardy Sole MBR",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nicholas Andre Hardy Sole MBR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie Gregory
• Xavier Grizzelle
• Ashlee Nicole Gulley, LPC
• Gyamfi Diagnostics (Savannah Diagnostics)
• Stephen Hamilton I, DDS
• Dominique Hardy
• Nicholas Hardy, LCSW
• Josephine Harris
• Rogester Harrison-Yancy, CPHT
• Kendall Hart, PT, DPT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Rosharon, TX
• Providers in Rosharon, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.