Provider Demographics
NPI:1427022961
Name:HARGETT, WILLIAM R (LPCC-S)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:R
Last Name:HARGETT
Suffix:
Gender:M
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 N COLUMBUS ST
Mailing Address - Street 2:STE 100
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-2538
Mailing Address - Country:US
Mailing Address - Phone:740-653-6500
Mailing Address - Fax:740-653-6501
Practice Address - Street 1:711 N COLUMBUS ST
Practice Address - Street 2:STE 100
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-2538
Practice Address - Country:US
Practice Address - Phone:740-653-6500
Practice Address - Fax:740-653-6501
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-13
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE 0001639101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHE 0001639OtherLICENSE
OH000000387056OtherANTHEM BCBS