Healthcare Provider Details

I. General information

NPI: 1407405764
Provider Name (Legal Business Name): ERIN HARRIS LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2019
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 FRED MICHAEL LN
BERKELEY SPRINGS WV
25411-7191
US

IV. Provider business mailing address

410 FRED MICHAEL LN
BERKELEY SPRINGS WV
25411-7191
US

V. Phone/Fax

Practice location:
  • Phone: 304-880-4871
  • Fax: 304-566-6991
Mailing address:
  • Phone: 304-880-4871
  • Fax: 304-566-6991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number3051
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: