Provider Demographics
NPI:1033742747
Name:HARDWICK, CHRISTIN (MED, LPC)
Entity Type:Individual
Prefix:
First Name:CHRISTIN
Middle Name:
Last Name:HARDWICK
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1996 SCHERTZ PKWY STE 205
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-1679
Mailing Address - Country:US
Mailing Address - Phone:210-602-1690
Mailing Address - Fax:
Practice Address - Street 1:1996 SCHERTZ PKWY STE 205
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-1679
Practice Address - Country:US
Practice Address - Phone:210-602-1690
Practice Address - Fax:210-368-2066
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-20
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76186101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX76186OtherLPC LICENSE NUMBER