Provider Demographics
NPI:1124296751
Name:COVER, ERICA (MA, LMFT)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:COVER
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34975 N NORTH VALLEY PKWY STE 152
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85086-4032
Mailing Address - Country:US
Mailing Address - Phone:623-889-3400
Mailing Address - Fax:623-889-3399
Practice Address - Street 1:34975 N NORTH VALLEY PKWY STE 152
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85086-4032
Practice Address - Country:US
Practice Address - Phone:623-889-3400
Practice Address - Fax:623-889-3399
Is Sole Proprietor?:No
Enumeration Date:2008-02-17
Last Update Date:2008-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ10261106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist