Provider Demographics
NPI:1114637600
Name:TROFF, ERIK ANDREW JR
Entity type:Individual
Prefix:MR
First Name:ERIK
Middle Name:ANDREW
Last Name:TROFF
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4100 BERKSHIRE LN N
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55446-3813
Mailing Address - Country:US
Mailing Address - Phone:571-422-8131
Mailing Address - Fax:
Practice Address - Street 1:4100 BERKSHIRE LN N
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55446-3813
Practice Address - Country:US
Practice Address - Phone:571-422-8131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-25
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4655101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional