Individual ProviderEdwin Costin HardisonCounselorBehavioral Health & Social Service ProvidersPractice Address221 Pauls Dr Ste A, Brandon, FL 33511-3897(813) 685-2221PECOS EnrollmentBased on the most recent information from CMS, provider Edwin Costin Hardison does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:06 AM.Profile DetailsProvider ID1982740262Provider TypeIndividualFull NameHardison, Edwin CostinCredentialLMHCGenderMaleSole ProprietorYesEnumeration Date1/30/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address221 Pauls Dr Ste A, Brandon, FL 33511-3897Phone(813) 685-2221Fax(813) 681-2208Mailing LocationMailing Address221 Pauls Dr Ste A, Brandon, FL 33511-3897Phone(813) 685-2221Fax(813) 681-2208Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseMH6123Florida