Healthcare Provider Details

I. General information

NPI: 1770364077
Provider Name (Legal Business Name): ERICA DAWN RITCHIE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2023
Last Update Date: 10/12/2023
Certification Date: 10/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

184 HOLIDAY HILLS DR
PARKERSBURG WV
26104-8006
US

IV. Provider business mailing address

184 HOLIDAY HILLS DR
PARKERSBURG WV
26104-8006
US

V. Phone/Fax

Practice location:
  • Phone: 304-420-2400
  • Fax: 304-420-9014
Mailing address:
  • Phone: 304-420-2400
  • Fax: 304-420-9014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: