Provider Demographics
NPI:1366009896
Name:KEPPLE, ERICA ALMENDAREZ (LPC)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:ALMENDAREZ
Last Name:KEPPLE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:MARIE
Other - Last Name:ALMENDAREZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:3009 N SPRING CT
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-2047
Mailing Address - Country:US
Mailing Address - Phone:972-762-8121
Mailing Address - Fax:
Practice Address - Street 1:3009 N SPRING CT
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75044-2047
Practice Address - Country:US
Practice Address - Phone:972-762-8121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-21
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
64032101Y00000X, 101YP2500X
TX64032101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional