| Julie Hardy L.l.c | |
|
3001 Clinton Road Sedalia MO 65301-7917 | |
| (660) 829-1133 | |
| (660) 829-1144 |
| Full Name | Julie Hardy L.l.c |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3001 Clinton Road, Sedalia, Missouri |
| Authorized Official Name and Position | Julie Lena Hardy (OWNER) |
| Authorized Official Contact | 6608291133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Hardy L.l.c P.o. Box 147 Green Ridge MO 65332 Ph: (660) 829-1133 | Julie Hardy L.l.c 3001 Clinton Road Sedalia MO 65301-7917 Ph: (660) 829-1133 |
| NPI Number | 1912159427 |
|---|---|
| Provider Enumeration Date | 10/15/2008 |
| Last Update Date | 10/22/2009 |
| Medicare PECOS PAC ID | 0648319749 |
|---|---|
| Medicare Enrollment ID | O20091203000097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912159427 | NPI | - | NPPES |
| 493379945 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 000968 (Missouri) | Secondary |
| 251S00000X | Community/behavioral Health | LC0989157 (Missouri) | Primary |
| Provider Name | Julie L Hardy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821095357 PECOS PAC ID: 4385712900 Enrollment ID: I20081009000648 |
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