MEDICARE: MS. YOLANDA HARDISON PLPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	178.019568	IL

General Provider Information

NPI Number	:	1326980863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. YOLANDA HARDISON PLPC

Provider Business Mailing Address
First Line	:	523 SAPPHIRE DR
Second Line	:
City	:	O FALLON
State	:	MO
Zip	:	63366-1889
Country	:	US
Telephone Number	:	314-368-2409
Fax Number	:	314-442-4139

Provider Business Practice Location Address
First Line	:	521 MADISON ST
Second Line	:
City	:	SAINT CHARLES
State	:	MO
Zip	:	63301-2747
Country	:	US
Telephone Number	:	314-368-2409
Fax Number	:	314-442-4139

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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