Provider Demographics
NPI:1083016729
Name:EHRHARDT, CRAIG STEPHEN (LPC)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:STEPHEN
Last Name:EHRHARDT
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CARNEGIE
Mailing Address - State:PA
Mailing Address - Zip Code:15106-2080
Mailing Address - Country:US
Mailing Address - Phone:412-294-8704
Mailing Address - Fax:724-312-0316
Practice Address - Street 1:519 E MAIN ST
Practice Address - Street 2:
Practice Address - City:CARNEGIE
Practice Address - State:PA
Practice Address - Zip Code:15106-2080
Practice Address - Country:US
Practice Address - Phone:412-294-8704
Practice Address - Fax:724-312-0316
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-25
Last Update Date:2016-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007697101YP2500X, 101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health