Provider Demographics
NPI:1194287227
Name:ENNIS, ERIN HEALY (LMFT)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:HEALY
Last Name:ENNIS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:890 S KERR AVE STE 250
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-2573
Mailing Address - Country:US
Mailing Address - Phone:706-306-7471
Mailing Address - Fax:
Practice Address - Street 1:890 S KERR AVE STE 250
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-2573
Practice Address - Country:US
Practice Address - Phone:706-306-7471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-06
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist