Provider Demographics
NPI:1801094537
Name:HARDMAN, ARTHUR EWELL (MDIV,CACII,MAC,CCS)
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:EWELL
Last Name:HARDMAN
Suffix:
Gender:M
Credentials:MDIV,CACII,MAC,CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 506
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-0506
Mailing Address - Country:US
Mailing Address - Phone:678-283-1462
Mailing Address - Fax:866-236-7142
Practice Address - Street 1:2750 OLD ALABAMA RD
Practice Address - Street 2:SUITE 200
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30022-8593
Practice Address - Country:US
Practice Address - Phone:678-893-5300
Practice Address - Fax:678-893-5312
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0492101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)