Healthcare Provider Details

I. General information

NPI: 1114523339
Provider Name (Legal Business Name): ERICA MARY HARDEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2020
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

658 W MARKET ST STE 101
LIMA OH
45801-5604
US

IV. Provider business mailing address

10100 ELIDA RD
DELPHOS OH
45833-9056
US

V. Phone/Fax

Practice location:
  • Phone: 419-222-1527
  • Fax: 419-222-3586
Mailing address:
  • Phone: 419-695-8010
  • Fax: 419-695-0004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2614161
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: