Provider Demographics
NPI:1124891122
Name:HARDY, AMBER R (LMHC)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:R
Last Name:HARDY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3968 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:SCIO
Mailing Address - State:NY
Mailing Address - Zip Code:14880-9507
Mailing Address - Country:US
Mailing Address - Phone:585-583-5510
Mailing Address - Fax:585-593-0704
Practice Address - Street 1:3968 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SCIO
Practice Address - State:NY
Practice Address - Zip Code:14880-9507
Practice Address - Country:US
Practice Address - Phone:585-583-5510
Practice Address - Fax:585-593-0704
Is Sole Proprietor?:No
Enumeration Date:2023-11-01
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool