Provider Demographics
NPI:1740615137
Name:HOARD, MARY ELIZABETH (LICDC)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:ELIZABETH
Last Name:HOARD
Suffix:
Gender:F
Credentials:LICDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 NORTH SIXTH STREET
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-2871
Mailing Address - Country:US
Mailing Address - Phone:740-283-4946
Mailing Address - Fax:740-314-4051
Practice Address - Street 1:1012 NORTH SIXTH STREET
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2871
Practice Address - Country:US
Practice Address - Phone:740-283-4946
Practice Address - Fax:740-314-4051
Is Sole Proprietor?:No
Enumeration Date:2013-09-05
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional