Hardy, Tyler Hudson

Hardy, Tyler Hudson is an sole proprietor health care provider with primary practice located at 2822 E Colfax Ave , Denver CO 80206-1507. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Hardy, Tyler Hudson can be contacted via phone (303) 953-2299.

Contact Information

Primary practice address
2822 E Colfax Ave Denver CO 80206-1507
Phone: (303) 953-2299
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X AADC Texas
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X T-22-1923 Oregon

Profile Details

NPI number 1235854266
LBN Legal business name Hardy, Tyler Hudson
Credentials MPH,
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2022
Last updated Dec 4th, 2022 - about 4 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 1235854266 NPPES
Oregon Other 22-QMHP-R-1674 QUALIFIED MENTAL HEALTH PROVIDER
Oregon Other T-22-1923 QUALIFIED MENTAL HEALTH PROVIDER
Oregon Other ADDC QUALIFIED MENTAL HEALTH PROVIDER
Oregon Other LCDC QUALIFIED MENTAL HEALTH PROVIDER
Oregon Other TG-22-095 QUALIFIED MENTAL HEALTH PROVIDER

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