Healthcare Provider Details

I. General information

NPI: 1265057947
Provider Name (Legal Business Name): ERICKA DAY EDD., LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2020
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 N 3RD ST STE 6
COEUR D ALENE ID
83814-3400
US

IV. Provider business mailing address

1312 E GILBERT AVE
COEUR D ALENE ID
83815-4961
US

V. Phone/Fax

Practice location:
  • Phone: 208-835-9080
  • Fax:
Mailing address:
  • Phone: 361-433-1557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC-8989
License Number StateID
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701014254
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: