Provider Demographics
NPI:1548281371
Name:CHILDS, ERIN T (LMFT)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:T
Last Name:CHILDS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11650 RIVERSIDE DR
Mailing Address - Street 2:SUITE 7
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91602-1093
Mailing Address - Country:US
Mailing Address - Phone:818-985-4200
Mailing Address - Fax:
Practice Address - Street 1:11650 RIVERSIDE DR
Practice Address - Street 2:SUITE 7
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91602-1093
Practice Address - Country:US
Practice Address - Phone:818-985-4200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT17254106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist