Provider Demographics
NPI:1992684021
Name:CHARD, ANDREW HUNTER
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:HUNTER
Last Name:CHARD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4516 ROCKMILL TRL
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76179-5091
Mailing Address - Country:US
Mailing Address - Phone:843-496-0492
Mailing Address - Fax:843-496-0492
Practice Address - Street 1:4516 ROCKMILL TRL
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76179-5091
Practice Address - Country:US
Practice Address - Phone:843-496-0492
Practice Address - Fax:843-496-0492
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1079941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical