Hardee, Jane Faulk

Hardee, Jane Faulk is an individual health care provider with primary practice located at 655 First Street , Macon GA 31201. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Hardee, Jane Faulk can be contacted via phone (478) 301-5930.

Contact Information

Primary practice address
655 First Street Macon GA 31201
Phone: (478) 301-5930
Fax: (478) 301-5932
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW000304 Georgia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT000169 Georgia

Profile Details

NPI number 1407943152
LBN Legal business name Hardee, Jane Faulk
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Oct 29th, 2014 - about 11 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 1407943152 NPPES
Georgia MEDICAID 000748811A
Georgia Other 800007277

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