Healthcare Provider Details

I. General information

NPI: 1235833625
Provider Name (Legal Business Name): ERICA LUCER0 ARELLANES-RIOS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2023
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 W NOB HILL BLVD APT 171
YAKIMA WA
98908-3641
US

IV. Provider business mailing address

5200 W NOB HILL BLVD APT 171
YAKIMA WA
98908-3641
US

V. Phone/Fax

Practice location:
  • Phone: 509-379-4573
  • Fax:
Mailing address:
  • Phone: 509-379-4573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC.LH.70110950
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: