Healthcare Provider Details

I. General information

NPI: 1659907145
Provider Name (Legal Business Name): ERIN MICHELLE PRUETT LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ERIN MICHELLE PRUETT LCMHC

II. Dates (important events)

Enumeration Date: 03/17/2020
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3710 UNIVERSITY DR STE 100
DURHAM NC
27707-6208
US

IV. Provider business mailing address

3710 UNIVERSITY DR STE 100
DURHAM NC
27707-6208
US

V. Phone/Fax

Practice location:
  • Phone: 919-906-4390
  • Fax: 919-287-2707
Mailing address:
  • Phone: 919-906-4390
  • Fax: 919-287-2707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH16758
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number20805
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: