Provider Demographics
NPI:1992510317
Name:CAMPBELL, ERA (MA, LCDC)
Entity type:Individual
Prefix:
First Name:ERA
Middle Name:
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:MA, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5519 CYPRESSGATE DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-8733
Mailing Address - Country:US
Mailing Address - Phone:832-832-0767
Mailing Address - Fax:
Practice Address - Street 1:5519 CYPRESSGATE DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77373-8733
Practice Address - Country:US
Practice Address - Phone:832-832-0767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15990101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)