Stacy Anne Hardwick, LPC
Individual provider Active NPI Professional Counselor · Cuba, MO
NPI 1205184124 · NPPES record last updated Nov 25, 2015
Key facts
- NPI
- 1205184124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2012037401 (MO)
- Practice address
- 312 N Franklin St
Cuba, MO 65453-1717 - Phone
- (573) 677-0262
- NPI assigned
- Aug 27, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012037401 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Professional | Current | Accepting new patients |
| Southeast Missouri Behavioral Health Inc | Past | Accepting new patients |
Interoperability endpoints
- stacyhardwick@tdh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2012037401 | MO | Yes |
Addresses
Primary practice location
312 N Franklin St
Cuba, MO 65453-1717
Mailing address
PO Box 189
St James, MO 65559-0189
Phone (573) 899-7121
Other providers in Cuba, MO
- Donald James Fuchs
- Thomas L. Gibbon
- Grace Gardens, LLC
- Louis Edward Hagene
- Sandy R Hagene
- Healthnet Regional Center of Cuba, Inc..
- John Wayne Hewkin
- Samuel W Holland
- James Devon Huitt
- Rebecca Jean Hutchison
All providers in Cuba, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.