Healthcare Provider Details

I. General information

NPI: 1639525868
Provider Name (Legal Business Name): ERIN OLAFSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2016
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 VETERANS AVE
BILOXI MS
39531-2410
US

IV. Provider business mailing address

400 VETERANS AVE
BILOXI MS
39531-2410
US

V. Phone/Fax

Practice location:
  • Phone: 228-523-5223
  • Fax:
Mailing address:
  • Phone: 228-523-5223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number12672
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: