Healthcare Provider Details

I. General information

NPI: 1467945113
Provider Name (Legal Business Name): ERICA JEAN ELLIOTT LCDC III; CADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2018
Last Update Date: 01/04/2026
Certification Date: 01/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3271 GEORGIA RD
FRANKLIN NC
28734-9603
US

IV. Provider business mailing address

253 TRUETT CAMP RD
HAYESVILLE NC
28904-4604
US

V. Phone/Fax

Practice location:
  • Phone: 828-595-9000
  • Fax:
Mailing address:
  • Phone: 828-595-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLCDCIII.162031
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCADC-30844
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: