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General NPI Number Information
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NPI Number | 1861235103
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Entity Type | Organization
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Legal Business Name | ERICA BONCELLA LPC
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Dates
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Enumeration Date | 06/14/2024
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 3266 W 26TH ST STE 101
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City | ERIE
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State | PA
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Zip | 16506-2508
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Country | US
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Telephone | 814-392-8891
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Fax |
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Provider Business Mailing Address
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Address Line | 3037 W 42ND ST
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City | ERIE
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State | PA
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Zip | 16506-5317
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Country | US
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Telephone | 814-392-8891
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Fax |
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Authorized Official
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Title or Position | LPC
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Name | ERICA LYN BONCELLA
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Credential | LPC
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Telephone | 814-392-8891
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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