Healthcare Provider Details

I. General information

NPI: 1477465755
Provider Name (Legal Business Name): ERIN ROGERS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ERIN IVEY ROGERS

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 151798
AUSTIN TX
78715-1798
US

IV. Provider business mailing address

PO BOX 151798
AUSTIN TX
78715-1798
US

V. Phone/Fax

Practice location:
  • Phone: 512-655-9263
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number103761
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: