Provider Demographics
NPI:1902281330
Name:ERIN YURCHENKO LPC
Entity Type:Organization
Organization Name:ERIN YURCHENKO LPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:YURCHENKO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:917-533-5947
Mailing Address - Street 1:601 EWING ST
Mailing Address - Street 2:B5
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-2757
Mailing Address - Country:US
Mailing Address - Phone:917-533-5947
Mailing Address - Fax:
Practice Address - Street 1:601 EWING ST
Practice Address - Street 2:B5
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-2757
Practice Address - Country:US
Practice Address - Phone:917-533-5947
Practice Address - Fax:609-688-8655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-28
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00512800101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty