Healthcare Provider Details

I. General information

NPI: 1013187111
Provider Name (Legal Business Name): ERIN JUSTICE HARRIS LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/04/2008
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 STRAWBERRY PLAINS RD STE 101
WILLIAMSBURG VA
23188-3442
US

IV. Provider business mailing address

103 DISCOVERY LN
WILLIAMSBURG VA
23185-3104
US

V. Phone/Fax

Practice location:
  • Phone: 910-409-6919
  • Fax:
Mailing address:
  • Phone: 910-409-6919
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6913
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0701007011
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: