Healthcare Provider Details

I. General information

NPI: 1841169901
Provider Name (Legal Business Name): ERICA DAWN BONE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/05/2025
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1255 PROVIDENCE PLACE PKWY STE 115
LEXINGTON KY
40511-8379
US

IV. Provider business mailing address

4800 N SCOTTSDALE RD STE 2500
SCOTTSDALE AZ
85251-7630
US

V. Phone/Fax

Practice location:
  • Phone: 844-494-1249
  • Fax: 216-456-8128
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number305890
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: