Provider Demographics
NPI:1386979771
Name:PHIFER, ERIN M (MA, LPC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:M
Last Name:PHIFER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1333 W MCDERMOTT DR
Mailing Address - Street 2:STE 180
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-3090
Mailing Address - Country:US
Mailing Address - Phone:972-908-2229
Mailing Address - Fax:972-908-2271
Practice Address - Street 1:1333 W MCDERMOTT DR
Practice Address - Street 2:STE 180
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-3090
Practice Address - Country:US
Practice Address - Phone:972-908-2229
Practice Address - Fax:972-908-2271
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-02
Last Update Date:2009-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX58592101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional