Provider Demographics
NPI:1619375524
Name:PHELPS, ERIN SKYE (LMHC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:SKYE
Last Name:PHELPS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1516
Mailing Address - Street 2:
Mailing Address - City:CHELAN
Mailing Address - State:WA
Mailing Address - Zip Code:98816-1516
Mailing Address - Country:US
Mailing Address - Phone:509-888-0392
Mailing Address - Fax:
Practice Address - Street 1:307 E WAPATO AVE
Practice Address - Street 2:
Practice Address - City:CHELAN
Practice Address - State:WA
Practice Address - Zip Code:98816-9649
Practice Address - Country:US
Practice Address - Phone:509-888-0392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-09
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60516237101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health