Healthcare Provider Details

I. General information

NPI: 1073737466
Provider Name (Legal Business Name): ERIKA DIANE WOLFE M.C., L.P.C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 06/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7265 SAINT CLAUDE AVE
ARABI LA
70032-1552
US

IV. Provider business mailing address

7265 SAINT CLAUDE AVE
ARABI LA
70032-1552
US

V. Phone/Fax

Practice location:
  • Phone: 504-264-5201
  • Fax: 504-264-5167
Mailing address:
  • Phone: 504-264-5201
  • Fax: 504-264-5167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number5164
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number12893
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: