Provider Demographics
NPI:1386086650
Name:LOPEZ-BEAULIEU, ERIKA
Entity type:Individual
Prefix:MS
First Name:ERIKA
Middle Name:
Last Name:LOPEZ-BEAULIEU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:488 PLEASANT ST STE 12
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-5904
Mailing Address - Country:US
Mailing Address - Phone:508-206-9892
Mailing Address - Fax:508-213-0134
Practice Address - Street 1:488 PLEASANT ST STE 12
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-5904
Practice Address - Country:US
Practice Address - Phone:508-206-9892
Practice Address - Fax:508-213-0134
Is Sole Proprietor?:No
Enumeration Date:2013-07-26
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10827101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health