Provider Demographics
NPI:1902605587
Name:WHITE, ERIKA (MS)
Entity type:Individual
Prefix:MS
First Name:ERIKA
Middle Name:
Last Name:WHITE
Suffix:
Gender:
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1380
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34995-1380
Mailing Address - Country:US
Mailing Address - Phone:772-692-4410
Mailing Address - Fax:772-692-4508
Practice Address - Street 1:400 N DIXIE HWY
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-1114
Practice Address - Country:US
Practice Address - Phone:772-692-4410
Practice Address - Fax:772-692-4508
Is Sole Proprietor?:No
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH26937101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health