Provider Demographics
NPI:1669499240
Name:DENTON, ERIN E (LCSW, LADAC, EMDR)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:E
Last Name:DENTON
Suffix:
Gender:F
Credentials:LCSW, LADAC, EMDR
Other - Prefix:MRS
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:DENTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW, LADAC, EMDR
Mailing Address - Street 1:2909 KING ST STE A
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-5326
Mailing Address - Country:US
Mailing Address - Phone:870-351-9860
Mailing Address - Fax:870-382-3025
Practice Address - Street 1:2909 KING ST JONESBORO
Practice Address - Street 2:SUITE A
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-7870
Practice Address - Country:US
Practice Address - Phone:870-933-6886
Practice Address - Fax:870-933-9395
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2032-C1041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5Y900OtherBCBS
AR5Y900OtherBLUECROSS BLUESHIELD