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NPI Code Detail

MEDICARE: STACI MARIE HARDWICK LPCC

MEDICARE: STACI MARIE HARDWICK LPCC
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
1101YP2500XProfessional Counselor246862KY

General Provider Information

NPI Number : 1891351318
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACI MARIE HARDWICK LPCC
Provider Business Mailing Address
First Line : 1115 ASHGROVE RD
Second Line :
City : NICHOLASVILLE
State : KY
Zip : 40356-9202
Country : US
Telephone Number : 859-907-8748
Fax Number :
Provider Business Practice Location Address
First Line : 1115 ASHGROVE RD
Second Line :
City : NICHOLASVILLE
State : KY
Zip : 40356-9202
Country : US
Telephone Number : 859-907-8748
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2019
Last Update Date : 10/16/2025

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Directions to “ STACI MARIE HARDWICK LPCC” Practice Location

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