Provider Demographics
NPI:1538505441
Name:HARDY, TERRICKA DARDEN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:TERRICKA
Middle Name:DARDEN
Last Name:HARDY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3750 HACKS CROSS RD
Mailing Address - Street 2:SUITE 102-314
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38125-2367
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3750 HACKS CROSS RD
Practice Address - Street 2:SUITE 102-314
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38125-2367
Practice Address - Country:US
Practice Address - Phone:615-389-3477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-18
Last Update Date:2013-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN57841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical