Provider Demographics
NPI:1013578723
Name:HARDING, SEAN CARLOS
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:CARLOS
Last Name:HARDING
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 1:2865 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:WEIRTON
Mailing Address - State:WV
Mailing Address - Zip Code:26062-3718
Mailing Address - Country:US
Mailing Address - Phone:410-924-2017
Mailing Address - Fax:
Practice Address - Street 1:3645 STUTZ DR
Practice Address - Street 2:
Practice Address - City:CANFIELD
Practice Address - State:OH
Practice Address - Zip Code:44406-9168
Practice Address - Country:US
Practice Address - Phone:330-967-4111
Practice Address - Fax:330-967-4255
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-24
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health