Provider Demographics
NPI:1285908350
Name:HEATH, ERIN (LMHC, LPC, ATR)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:HEATH
Suffix:
Gender:F
Credentials:LMHC, LPC, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4234 TIMBERLINE RD
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:WA
Mailing Address - Zip Code:98236
Mailing Address - Country:US
Mailing Address - Phone:414-659-1731
Mailing Address - Fax:
Practice Address - Street 1:600 W. VIRGINIA ST.
Practice Address - Street 2:203
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53204-1500
Practice Address - Country:US
Practice Address - Phone:414-831-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-06
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI953-226101Y00000X, 101YP2500X
WI16442-130101YA0400X
WALH60807830101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional