Provider Demographics
NPI:1730443813
Name:ERIKALIN ASHTON, LLC
Entity type:Organization
Organization Name:ERIKALIN ASHTON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIKALIN
Authorized Official - Middle Name:N
Authorized Official - Last Name:ASHTON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:314-222-5848
Mailing Address - Street 1:9890 CLAYTON RD
Mailing Address - Street 2:SUITE100
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63124-1685
Mailing Address - Country:US
Mailing Address - Phone:314-222-5848
Mailing Address - Fax:314-725-1654
Practice Address - Street 1:9890 CLAYTON RD
Practice Address - Street 2:SUITE100
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63124-1685
Practice Address - Country:US
Practice Address - Phone:314-222-5848
Practice Address - Fax:314-725-1654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-03
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002021870103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1003970401OtherMEDICARE NPI TYPE I