Healthcare Provider Details

I. General information

NPI: 1245162700
Provider Name (Legal Business Name): ERIKA HEATHER TRICE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 TAMAL VISTA BLVD STE 205
CORTE MADERA CA
94925-1147
US

IV. Provider business mailing address

PO BOX 337 ATTN: M GUTHRIE
CORTE MADERA CA
94976
US

V. Phone/Fax

Practice location:
  • Phone: 415-212-6478
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: