| Donna Hardy, LPC | |
|
10 Sammons Ln, Fort Gay, WV 25514 | |
| (304) 648-7100 | |
| (304) 648-7160 |
| Full Name | Donna Hardy |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 10 Sammons Ln, Fort Gay, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205292786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1532 (West Virginia) | Primary |
| Entity Name | Central Avenue Wellness |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396483731 PECOS PAC ID: 4587009568 Enrollment ID: O20240229001806 |
| Mailing Address | Practice Location Address |
|---|---|
| Donna Hardy, LPC 10 Sammons Ln, Fort Gay, WV 25514 Ph: (304) 648-7100 | Donna Hardy, LPC 10 Sammons Ln, Fort Gay, WV 25514 Ph: (304) 648-7100 |
Laraya Dingess, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 20824 Route 52, Fort Gay, WV 25514 Phone: 304-648-7100 | |
Mr. Danny Ernest Jude Jr., LICSW Counselor Medicare: Medicare Enrolled Practice Location: 20824 Route 52, Fort Gay, WV 25514 Phone: 304-648-7100 Fax: 304-648-7160 | |
Mrs. Colleen Marie Caldwell-mccomas, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 71 Wayne St, Fort Gay, WV 25514 Phone: 304-648-5544 Fax: 304-648-5989 | |
Harriet Clementine Gibson, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 20824 Route 52, Fort Gay, WV 25514 Phone: 304-648-7100 |