Healthcare Provider Details

I. General information

NPI: 1326980863
Provider Name (Legal Business Name): YOLANDA HARDISON PLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

521 MADISON ST
SAINT CHARLES MO
63301-2747
US

IV. Provider business mailing address

523 SAPPHIRE DR
O FALLON MO
63366-1889
US

V. Phone/Fax

Practice location:
  • Phone: 314-368-2409
  • Fax: 314-442-4139
Mailing address:
  • Phone: 314-368-2409
  • Fax: 314-442-4139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178.019568
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: