Provider Demographics
NPI:1659907145
Name:PRUETT, ERIN MICHELLE (LMHC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:MICHELLE
Last Name:PRUETT
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:MICHELLE
Other - Last Name:PRUETT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCMHC
Mailing Address - Street 1:3710 UNIVERSITY DR STE 100
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-6208
Mailing Address - Country:US
Mailing Address - Phone:919-906-4390
Mailing Address - Fax:919-287-2707
Practice Address - Street 1:3710 UNIVERSITY DR STE 100
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6208
Practice Address - Country:US
Practice Address - Phone:919-906-4390
Practice Address - Fax:919-287-2707
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-17
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH16758101YM0800X
NC20805101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health