Provider Demographics
NPI:1194142943
Name:QUICK, ERIC KID (LPC, LAC, LMHC)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:KID
Last Name:QUICK
Suffix:
Gender:M
Credentials:LPC, LAC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1497 FOREST HILL BLVD STE E
Mailing Address - Street 2:
Mailing Address - City:LAKE CLARKE SHORES
Mailing Address - State:FL
Mailing Address - Zip Code:33406-6052
Mailing Address - Country:US
Mailing Address - Phone:561-433-5687
Mailing Address - Fax:561-433-5705
Practice Address - Street 1:1497 FOREST HILL BLVD STE E
Practice Address - Street 2:
Practice Address - City:LAKE CLARKE SHORES
Practice Address - State:FL
Practice Address - Zip Code:33406-6052
Practice Address - Country:US
Practice Address - Phone:561-433-5687
Practice Address - Fax:561-433-5705
Is Sole Proprietor?:No
Enumeration Date:2014-03-18
Last Update Date:2019-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO175101YA0400X
CO6484101YM0800X
FLMH14257101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)