Provider Demographics
NPI:1366149460
Name:PHOEBUS, ERIN NOEL (LCPC, LGPAT, ATR)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:NOEL
Last Name:PHOEBUS
Suffix:
Gender:F
Credentials:LCPC, LGPAT, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2409 LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21213-1034
Mailing Address - Country:US
Mailing Address - Phone:443-304-7137
Mailing Address - Fax:
Practice Address - Street 1:2409 LAKE AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21213-1034
Practice Address - Country:US
Practice Address - Phone:443-304-7137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC15002101Y00000X
MDATG344101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor