Hardy, Carol L

Hardy, Carol L is an individual health care provider with primary practice located at 202 E Adams St , Rapid City SD 57701-1261. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Hardy, Carol L can be contacted via phone (605) 342-4789.

Contact Information

Primary practice address
202 E Adams St Rapid City SD 57701-1261
Phone: (605) 342-4789
Fax: (605) 399-0833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2020 South Dakota
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 4531 South Dakota

Profile Details

NPI number 1770624587
LBN Legal business name Hardy, Carol L
Credentials LCSW-PIP.QMHP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Jun 5th, 2008 - about 18 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 1770624587 NPPES
South Dakota Other 9218961 DAKOTACARE
South Dakota Other 4993735 DAKOTACARE
South Dakota MEDICAID 6571430 DAKOTACARE

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