Healthcare Provider Details

I. General information

NPI: 1881522845
Provider Name (Legal Business Name): ERICA HARDESTY LGSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 782
SAINT ALBANS WV
25177-0782
US

IV. Provider business mailing address

PO BOX 782
SAINT ALBANS WV
25177-0782
US

V. Phone/Fax

Practice location:
  • Phone: 681-205-8661
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberBP00945148
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: