Provider Demographics
NPI:1871659623
Name:HARDY & STEPHENS COUNSELING ASSOCIATES PLLC
Entity Type:Organization
Organization Name:HARDY & STEPHENS COUNSELING ASSOCIATES PLLC
Other - Org Name:THE CENTER FOR HOPE AND HEALING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:LP
Authorized Official - Phone:763-633-5111
Mailing Address - Street 1:11070 183RD CIR NW
Mailing Address - Street 2:
Mailing Address - City:ELK RIVER
Mailing Address - State:MN
Mailing Address - Zip Code:55330-2842
Mailing Address - Country:US
Mailing Address - Phone:763-633-5111
Mailing Address - Fax:763-633-5112
Practice Address - Street 1:11070 183RD CIR NW
Practice Address - Street 2:
Practice Address - City:ELK RIVER
Practice Address - State:MN
Practice Address - Zip Code:55330-2842
Practice Address - Country:US
Practice Address - Phone:763-633-5111
Practice Address - Fax:763-633-5112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN526644100OtherMEDICAL ASSISTANCE