Provider Demographics
NPI:1154757037
Name:WINN, ERICA MICHELE (LPC, LMFTA)
Entity type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:MICHELE
Last Name:WINN
Suffix:
Gender:F
Credentials:LPC, LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 SPRUCE TRL
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-6930
Mailing Address - Country:US
Mailing Address - Phone:214-288-4685
Mailing Address - Fax:
Practice Address - Street 1:713 W BROAD ST STE 200
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-9107
Practice Address - Country:US
Practice Address - Phone:972-552-5559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-23
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64747101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional