Provider Demographics
NPI:1386174258
Name:MENDEZ, ERIKA ANN (PHD, LPC)
Entity type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:ANN
Last Name:MENDEZ
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:ANN
Other - Last Name:VILLARREAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2007 KELLY LN
Mailing Address - Street 2:
Mailing Address - City:KINGSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78363-2881
Mailing Address - Country:US
Mailing Address - Phone:361-720-8809
Mailing Address - Fax:
Practice Address - Street 1:201 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ALICE
Practice Address - State:TX
Practice Address - Zip Code:78332-4964
Practice Address - Country:US
Practice Address - Phone:361-661-1060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-14
Last Update Date:2017-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73991101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional