MEDICARE: MR. SCOTT VANCE ERICSON LPC, LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	9310	TX
2	106H00000X	Marriage & Family Therapist	716	TX

General Provider Information

NPI Number	:	1164731162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SCOTT VANCE ERICSON LPC, LMFT

Provider Business Mailing Address
First Line	:	1814 8TH AVE
Second Line	:	SUITE A
City	:	FORT WORTH
State	:	TX
Zip	:	76110-1354
Country	:	US
Telephone Number	:	817-454-1354
Fax Number	:	817-922-7895

Provider Business Practice Location Address
First Line	:	1814 8TH AVE
Second Line	:	SUITE A
City	:	FORT WORTH
State	:	TX
Zip	:	76110-1354
Country	:	US
Telephone Number	:	817-454-1354
Fax Number	:	817-922-7895

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2010
Last Update Date	:	09/25/2010

Similar Medicare Providers

1053300350 — ROBERT P ODGERS PHD
Practice Location Address:

1814 8TH AVE , B
FORT WORTH, TX
76110-1354

Practice Phone: 817-335-5565
Practice Fax: 817-335-5787

1750303269 — CHERYL FULLER PHD
Practice Location Address:

1814 8TH AVE # B
FORT WORTH, TX
76110-1354

Practice Phone: 817-735-8222
Practice Fax: 817-924-1369

1689789901 — CHERYL C. FULLER PHD PA
Practice Location Address:

1814 8TH AVE # B
FORT WORTH, TX
76110-1354

Practice Phone: 817-735-8222
Practice Fax: 817-924-1369

1437499928 — GEORGE LUIS RONDON LCSW
Practice Location Address:

1814 8TH AVE STE 4
FORT WORTH, TX
76110-1354

Practice Phone: 817-769-0159
Practice Fax:

1710496781 — MICHAEL RAY THRONEBERRY LCSW
Practice Location Address:

1814 8TH AVE
FORT WORTH, TX
76110-1354

Practice Phone: 214-415-7093
Practice Fax:

1346704707 — JAZMIN D. TUCKER
Practice Location Address:

1814 8TH AVE STE B7
FORT WORTH, TX
76110-1354

Practice Phone: 817-899-0306
Practice Fax:

Directions to “ MR. SCOTT VANCE ERICSON LPC, LMFT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.