Provider Demographics
NPI:1760219703
Name:KING, ERIN (NCC, LPC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:KING
Suffix:
Gender:F
Credentials:NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 HANCOCK AVE
Mailing Address - Street 2:
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-5001
Mailing Address - Country:US
Mailing Address - Phone:318-663-7984
Mailing Address - Fax:
Practice Address - Street 1:715 UNIVERSITY PKWY
Practice Address - Street 2:
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-3915
Practice Address - Country:US
Practice Address - Phone:318-663-7984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6611101Y00000X
LA743189101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor