Provider Demographics
NPI:1134008154
Name:HUBBARD, ERICA LYNN (LPC/MHSP)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:LYNN
Last Name:HUBBARD
Suffix:
Gender:F
Credentials:LPC/MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 WHITLOCK DR
Mailing Address - Street 2:
Mailing Address - City:FALL BRANCH
Mailing Address - State:TN
Mailing Address - Zip Code:37656-1836
Mailing Address - Country:US
Mailing Address - Phone:423-480-4913
Mailing Address - Fax:
Practice Address - Street 1:406 ROY MARTIN RD STE 6
Practice Address - Street 2:
Practice Address - City:GRAY
Practice Address - State:TN
Practice Address - Zip Code:37615-2245
Practice Address - Country:US
Practice Address - Phone:423-430-6581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-02
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8140101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional