Mary Elizabeth Hardy-Garcia, LPCC
Individual provider Active NPI Professional Counselor · South Shore, KY
NPI 1487978557 · NPPES record last updated Jun 23, 2014
Key facts
- NPI
- 1487978557
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- KY 1378 (KY)
- Practice address
- 102 Biggs LN
South Shore, KY 41175-7846 - Phone
- (740) 577-5289
- Fax
- (606) 932-2453
- NPI assigned
- Mar 18, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| KY 1378 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brick by Brick Mental Health Counseling and Spiritual Guidance | Professional | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | KY 1378 | KY | Yes |
Addresses
Primary practice location
102 Biggs LN
South Shore, KY 41175-7846
Mailing address
12436 State Route 139
Jackson, OH 45640-9705
Phone (740) 577-5289
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30610026 | Medicaid | KY |
Other providers in South Shore, KY
- Dorothy Luanne Gravely
- Greenup County Health Department
- Greenup County Health Dept
- Gregory Hudson MD Inc
- Rachel M Hall
- Heart EMS Inc
- Gregory Hudson
- Matthew G Hudson
- Samuel David Hudson
- Jerry Wayne Iery
All providers in South Shore, KY · Professional Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2014. 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.