Provider Demographics
NPI:1134308034
Name:ERLICHMAN, STANTON ROY (PHD LMFT CAP CEDS)
Entity type:Individual
Prefix:DR
First Name:STANTON
Middle Name:ROY
Last Name:ERLICHMAN
Suffix:
Gender:M
Credentials:PHD LMFT CAP CEDS
Other - Prefix:
Other - First Name:S
Other - Middle Name:ROY
Other - Last Name:ERLICHMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:7325 SW 63RD AVENUE
Mailing Address - Street 2:ERE ASSOCIATES SUITE 101
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4812
Mailing Address - Country:US
Mailing Address - Phone:305-284-1143
Mailing Address - Fax:305-667-9880
Practice Address - Street 1:3450 NORTHLAKE BLVD
Practice Address - Street 2:ERE ASSOCIATES SUITE 212
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33403-1712
Practice Address - Country:US
Practice Address - Phone:561-626-8070
Practice Address - Fax:561-626-2828
Is Sole Proprietor?:No
Enumeration Date:2007-10-26
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLC762101YA0400X
FLMT1462106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ5108OtherBLUE CROSS BLUE SHIELD