Healthcare Provider Details

I. General information

NPI: 1568680601
Provider Name (Legal Business Name): ERIKA LEMUS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 11/12/2024
Certification Date: 11/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23041 AVENIDA DE LA CARLOTA FL 4
LAGUNA HILLS CA
92653-1511
US

IV. Provider business mailing address

62 SEACOUNTRY LN
RANCHO SANTA MARGARITA CA
92688-5524
US

V. Phone/Fax

Practice location:
  • Phone: 714-644-6480
  • Fax:
Mailing address:
  • Phone: 714-770-9135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number28993
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: