Healthcare Provider Details

I. General information

NPI: 1336574417
Provider Name (Legal Business Name): ERIN CHRISTIE CORMAN M.S., CADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2013
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 WEST STREET SUITE B
STOCKTON MO
65785
US

IV. Provider business mailing address

3372 S 1401 RD
STOCKTON MO
65785-9183
US

V. Phone/Fax

Practice location:
  • Phone: 417-955-2978
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number08061
License Number StateIA
# 3
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateMO
# 4
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: