Provider Demographics
NPI:1104570415
Name:VLACH, ERIN N (LPCC-S)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:N
Last Name:VLACH
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:242 PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-3660
Mailing Address - Country:US
Mailing Address - Phone:614-470-6248
Mailing Address - Fax:
Practice Address - Street 1:4041 N HIGH ST STE 300K
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3200
Practice Address - Country:US
Practice Address - Phone:614-407-6248
Practice Address - Fax:614-633-2017
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-05
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0800158101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional