Healthcare Provider Details

I. General information

NPI: 1538716048
Provider Name (Legal Business Name): ERICA MURTO MA, LPC, NCC, LSC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERICA SPECKMANN MA, LPC, NCC, LSC

II. Dates (important events)

Enumeration Date: 08/20/2019
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 S ASHLEY ST STE C
ANN ARBOR MI
48104-1369
US

IV. Provider business mailing address

1114 N LEROY ST # 1016
FENTON MI
48430-2758
US

V. Phone/Fax

Practice location:
  • Phone: 810-337-8377
  • Fax:
Mailing address:
  • Phone: 810-730-0389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401017344
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: