Provider Demographics
NPI:1508311796
Name:BLUNTSON, ERIKA KRISTEN
Entity type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:KRISTEN
Last Name:BLUNTSON
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ERIKA
Other - Middle Name:
Other - Last Name:GORDON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:404 N ANDREA CIR
Mailing Address - Street 2:
Mailing Address - City:HAINES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33844-6445
Mailing Address - Country:US
Mailing Address - Phone:239-410-6803
Mailing Address - Fax:
Practice Address - Street 1:404 N ANDREA CIR
Practice Address - Street 2:
Practice Address - City:HAINES CITY
Practice Address - State:FL
Practice Address - Zip Code:33844-6445
Practice Address - Country:US
Practice Address - Phone:239-410-6803
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-17
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health