Provider Demographics
NPI:1740826940
Name:GRIDER, ERIN L (LPCC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:L
Last Name:GRIDER
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:L
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:80 ROLLING HILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:KY
Mailing Address - Zip Code:42633-9005
Mailing Address - Country:US
Mailing Address - Phone:606-343-0216
Mailing Address - Fax:606-343-0224
Practice Address - Street 1:80 ROLLING HILLS BLVD
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:KY
Practice Address - Zip Code:42633-9005
Practice Address - Country:US
Practice Address - Phone:606-343-0216
Practice Address - Fax:606-343-0224
Is Sole Proprietor?:No
Enumeration Date:2019-11-22
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY260321101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
14578469OtherCAQH
KY7100637730Medicaid