Healthcare Provider Details

I. General information

NPI: 1205760337
Provider Name (Legal Business Name): ERICA PRICE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERICA CAMPBELL-PRICE

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2529 BUNCH RD
ANDERSON MO
64831-9187
US

IV. Provider business mailing address

2529 BUNCH RD
ANDERSON MO
64831-9187
US

V. Phone/Fax

Practice location:
  • Phone: 417-825-4628
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2026026576
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: