Healthcare Provider Details

I. General information

NPI: 1578575551
Provider Name (Legal Business Name): MICHAEL DEAN ERICKSON LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12300 DUNDEE CT STE 202
CYPRESS TX
77429-8363
US

IV. Provider business mailing address

12300 DUNDEE CT STE 202
CYPRESS TX
77429-8363
US

V. Phone/Fax

Practice location:
  • Phone: 832-455-5729
  • Fax:
Mailing address:
  • Phone: 832-455-5729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number17125
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: