Provider Demographics
NPI:1982413118
Name:EHRHARDT, JEFF
Entity type:Individual
Prefix:
First Name:JEFF
Middle Name:
Last Name:EHRHARDT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 RIVERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-4723
Mailing Address - Country:US
Mailing Address - Phone:504-813-0791
Mailing Address - Fax:
Practice Address - Street 1:221 N NEW HAMPSHIRE ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-3249
Practice Address - Country:US
Practice Address - Phone:985-400-5410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor