Healthcare Provider Details

I. General information

NPI: 1013186980
Provider Name (Legal Business Name): ERICA LEIGH RAMAGE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERICA LEIGH PENNY I

II. Dates (important events)

Enumeration Date: 02/26/2008
Last Update Date: 01/30/2026
Certification Date: 01/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3115 TRINITY BLVD
TEXARKANA AR
71854-9239
US

IV. Provider business mailing address

PO BOX 30022
LITTLE ROCK AR
72260-0001
US

V. Phone/Fax

Practice location:
  • Phone: 870-600-3587
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP2405025
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number66359
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: