Erica Elliott, LPC
Individual provider Active NPI Professional Counselor · Newalla, OK
NPI 1124367180 · NPPES record last updated Feb 19, 2019
Key facts
- NPI
- 1124367180
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2050 (OK)
- Practice address
- 10316 Carolyn Dr
Newalla, OK 74857-7605 - Phone
- (405) 623-4075
- NPI assigned
- Feb 11, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2050 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warriorheart Healling Hearts LLC | Professional | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2050 | OK | Yes |
Addresses
Primary practice location
10316 Carolyn Dr
Newalla, OK 74857-7605
Mailing address
3917 Terry LN NE
Piedmont, OK 73078-9499
Phone (405) 623-4075
Other providers in Newalla, OK
- Alejandra Cardona
- Anna Chorost
- Justin Anthony Conkling
- Jimmy Cox
- Jefferies Blake Davis
- Mary Shannon Hazen
- Valerie Rene Holzbaugh
- Brody Scott Hughes
- Nicholas Hughes
- Tristan Daniel Hughes
All providers in Newalla, OK · Professional Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.