Provider Demographics
NPI:1598586349
Name:ALI, ERICA (LPC)
Entity type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:
Last Name:ALI
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 1:19 MILFORD LN APT 7304
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-7926
Mailing Address - Country:US
Mailing Address - Phone:845-461-1270
Mailing Address - Fax:
Practice Address - Street 1:19 MILFORD LN APT 7304
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-7926
Practice Address - Country:US
Practice Address - Phone:845-461-1270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC0153400101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health