Healthcare Provider Details

I. General information

NPI: 1154906261
Provider Name (Legal Business Name): ERIN RAFFERTY NARASIMHAN PHD, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN RAFFERTY DELEE PHD, LPC

II. Dates (important events)

Enumeration Date: 03/10/2021
Last Update Date: 01/10/2024
Certification Date: 01/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1136 E HARMONY AVE STE 202B
MESA AZ
85204-5878
US

IV. Provider business mailing address

3717 E FAIRFIELD ST
MESA AZ
85205-4969
US

V. Phone/Fax

Practice location:
  • Phone: 480-501-9990
  • Fax:
Mailing address:
  • Phone: 520-965-7385
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC-21016
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number4632579
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: