Provider Demographics
NPI:1245121797
Name:TANNER, ERIKA J (MA)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:J
Last Name:TANNER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MRS
Other - First Name:ERIKA
Other - Middle Name:J
Other - Last Name:SCROGGINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:71 CHARLOTTE DR
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-4691
Mailing Address - Country:US
Mailing Address - Phone:931-787-0820
Mailing Address - Fax:
Practice Address - Street 1:545 E SPRING ST
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-3594
Practice Address - Country:US
Practice Address - Phone:865-378-6929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)