Healthcare Provider Details

I. General information

NPI: 1861113607
Provider Name (Legal Business Name): ERICA LITTLE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2022
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2612 BEECH CREEK RD
GLENN HEIGHTS TX
75154-1893
US

IV. Provider business mailing address

1660 S UNIVERSITY DR # 1290
FORT WORTH TX
76107-6524
US

V. Phone/Fax

Practice location:
  • Phone: 682-730-0520
  • Fax:
Mailing address:
  • Phone: 682-730-0520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number84020
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: