MEDICARE: MRS. ANNIINA EMILI EHRMAN MA, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	90669	TX

General Provider Information

NPI Number	:	1093549800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANNIINA EMILI EHRMAN MA, LPC

Provider Business Mailing Address
First Line	:	3410 BASSWOOD BLVD STE 120
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76137-1446
Country	:	US
Telephone Number	:	682-233-1552
Fax Number	:

Provider Business Practice Location Address
First Line	:	3410 BASSWOOD BLVD
Second Line	:	SUITE 120
City	:	FORT WORTH
State	:	TX
Zip	:	76137
Country	:	US
Telephone Number	:	817-791-8410
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2024
Last Update Date	:	03/04/2026

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