Provider Demographics
NPI:1154906261
Name:NARASIMHAN, ERIN RAFFERTY (PHD, LPC)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:RAFFERTY
Last Name:NARASIMHAN
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:DR
Other - First Name:ERIN
Other - Middle Name:RAFFERTY
Other - Last Name:DELEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, LPC
Mailing Address - Street 1:3717 E FAIRFIELD ST
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85205-4969
Mailing Address - Country:US
Mailing Address - Phone:520-965-7385
Mailing Address - Fax:
Practice Address - Street 1:1136 E HARMONY AVE STE 202B
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85204-5878
Practice Address - Country:US
Practice Address - Phone:480-501-9990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4632579101YS0200X
AZLPC-21016101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool