Provider Demographics
NPI:1285289736
Name:BARKER, ERICKA CATRISE
Entity type:Individual
Prefix:MS
First Name:ERICKA
Middle Name:CATRISE
Last Name:BARKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ERICKA
Other - Middle Name:CATRISE
Other - Last Name:BARKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:TRICIYS GROUP HOME
Mailing Address - Street 1:12858 W ALVARADO RD
Mailing Address - Street 2:
Mailing Address - City:AVONDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85392-7144
Mailing Address - Country:US
Mailing Address - Phone:480-251-2482
Mailing Address - Fax:
Practice Address - Street 1:12858 W ALVARADO RD
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85392-7144
Practice Address - Country:US
Practice Address - Phone:480-251-2482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-01
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health