Healthcare Provider Details

I. General information

NPI: 1184164790
Provider Name (Legal Business Name): ERICA PEARSON PHD, LPC, ACS, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2017
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 KOLLEN PARK DR
HOLLAND MI
49423-3401
US

IV. Provider business mailing address

166 MILLVIEW AVE
KALAMAZOO MI
49001-3639
US

V. Phone/Fax

Practice location:
  • Phone: 269-241-3772
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number6401015521
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401015521
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: