Healthcare Provider Details

I. General information

NPI: 1508513094
Provider Name (Legal Business Name): ERIN PLEW LYLES LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN MICHELLE PLEW LYLES

II. Dates (important events)

Enumeration Date: 03/04/2022
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 OFFICE COURT DR STE 906
SANTA FE NM
87507-4929
US

IV. Provider business mailing address

21600 OXNARD ST STE 1800
WOODLAND HILLS CA
91367-7807
US

V. Phone/Fax

Practice location:
  • Phone: 505-207-8929
  • Fax:
Mailing address:
  • Phone: 818-345-2345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberCTB-2025-0113
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: