Provider Demographics
NPI:1538716048
Name:MURTO, ERICA (MA, LPC, NCC, LSC)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:MURTO
Suffix:
Gender:F
Credentials:MA, LPC, NCC, LSC
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:
Other - Last Name:SPECKMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC, NCC, LSC
Mailing Address - Street 1:1114 N LEROY ST # 1016
Mailing Address - Street 2:
Mailing Address - City:FENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48430-2758
Mailing Address - Country:US
Mailing Address - Phone:810-730-0389
Mailing Address - Fax:
Practice Address - Street 1:225 S ASHLEY ST STE C
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-1369
Practice Address - Country:US
Practice Address - Phone:810-337-8377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-20
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401017344101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional