Provider Demographics
NPI:1336378694
Name:SHMILOVICH, ERICA L (LPC)
Entity type:Individual
Prefix:MS
First Name:ERICA
Middle Name:L
Last Name:SHMILOVICH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:8001 ROOSEVELT BLVD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19152-3038
Mailing Address - Country:US
Mailing Address - Phone:215-332-2311
Mailing Address - Fax:215-332-1873
Practice Address - Street 1:8001 ROOSEVELT BLVD
Practice Address - Street 2:SUITE 205
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-3038
Practice Address - Country:US
Practice Address - Phone:215-332-2311
Practice Address - Fax:215-332-1873
Is Sole Proprietor?:No
Enumeration Date:2009-07-08
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPC005198101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional