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NPI Code Detail

MEDICARE: MS. ERICA MARIE VANCE MS, LPC

MEDICARE: MS. ERICA MARIE VANCE MS, LPC
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
1101YP2500XProfessional CounselorLPC23741AZ
2101YM0800XMental Health CounselorLPC23741AZ

General Provider Information

NPI Number : 1497439574
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ERICA MARIE VANCE MS, LPC
Provider Business Mailing Address
First Line : 3101 N CENTRAL AVE STE 550
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2635
Country : US
Telephone Number : 602-230-7373
Fax Number : 602-682-7455
Provider Business Practice Location Address
First Line : 506 E WESTERN AVE STE 104
Second Line :
City : AVONDALE
State : AZ
Zip : 85323-2422
Country : US
Telephone Number : 602-230-7373
Fax Number : 623-230-3086
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2023
Last Update Date : 12/05/2025

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