Provider Demographics
NPI:1528342870
Name:WHITE, ERIN T (LPC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:T
Last Name:WHITE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 CYPRESS CREEK RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-4466
Mailing Address - Country:US
Mailing Address - Phone:512-461-3970
Mailing Address - Fax:512-861-8088
Practice Address - Street 1:1001 CYPRESS CREEK RD STE 201
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-4468
Practice Address - Country:US
Practice Address - Phone:512-461-3970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-05
Last Update Date:2015-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64896101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor