Provider Demographics
NPI:1932401692
Name:EHRMIN, MARY CHRISTINE (MSW)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:CHRISTINE
Last Name:EHRMIN
Suffix:
Gender:F
Credentials:MSW
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 6752
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78466-6752
Mailing Address - Country:US
Mailing Address - Phone:618-066-6583
Mailing Address - Fax:361-334-1574
Practice Address - Street 1:6410 WEBER RD STE 11A
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78413-4032
Practice Address - Country:US
Practice Address - Phone:361-806-6658
Practice Address - Fax:361-334-1574
Is Sole Proprietor?:No
Enumeration Date:2010-11-30
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC601865991041C0700X
TX659041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2034034Medicaid
WA2034034Medicaid