Healthcare Provider Details

I. General information

NPI: 1699682013
Provider Name (Legal Business Name): ERIKA MINNIX
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4221 E RAY RD APT 2037
PHOENIX AZ
85044-0601
US

IV. Provider business mailing address

4221 E RAY RD APT 2037
PHOENIX AZ
85044-0601
US

V. Phone/Fax

Practice location:
  • Phone: 489-870-8080
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number22950
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: