Healthcare Provider Details

I. General information

NPI: 1669313318
Provider Name (Legal Business Name): ERICA NICOLE MCKINLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2026
Last Update Date: 04/04/2026
Certification Date: 04/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 NORTHFIELD RD
MAPLE HEIGHTS OH
44137-3114
US

IV. Provider business mailing address

2025 LEE DR
AKRON OH
44306-4325
US

V. Phone/Fax

Practice location:
  • Phone: 919-264-7517
  • Fax:
Mailing address:
  • Phone: 217-477-2274
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: