Provider Demographics
NPI:1073825436
Name:EPPS, ERIKA L (PSYD)
Entity type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:L
Last Name:EPPS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1086
Mailing Address - Street 2:
Mailing Address - City:ENNIS
Mailing Address - State:TX
Mailing Address - Zip Code:75120-1086
Mailing Address - Country:US
Mailing Address - Phone:432-653-4281
Mailing Address - Fax:469-881-1215
Practice Address - Street 1:152 WAKE FOREST AVE
Practice Address - Street 2:
Practice Address - City:RED OAK
Practice Address - State:TX
Practice Address - Zip Code:75154-1496
Practice Address - Country:US
Practice Address - Phone:432-653-4281
Practice Address - Fax:469-747-6072
Is Sole Proprietor?:No
Enumeration Date:2010-07-13
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TC1900X, 101Y00000X, 101YA0400X, 101YM0800X
TX13810103TA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health