Healthcare Provider Details

I. General information

NPI: 1033552146
Provider Name (Legal Business Name): KATIE ELIZABETH BEEMAN ERICKSON LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATIE ERICKSON LPCC

II. Dates (important events)

Enumeration Date: 04/09/2013
Last Update Date: 03/29/2023
Certification Date: 03/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 E SUPERIOR ST
DULUTH MN
55802-2007
US

IV. Provider business mailing address

11 E SUPERIOR ST STE 415
DULUTH MN
55802-2007
US

V. Phone/Fax

Practice location:
  • Phone: 218-393-5407
  • Fax: 218-461-3666
Mailing address:
  • Phone: 218-249-0595
  • Fax: 218-461-3666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: