MEDICARE: ERICA L DANIELS LPCC-S

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	101Y00000X	Counselor	E.0601020-SUPV	OH
2	101YP2500X	Professional Counselor	E. 0601020	OH
3	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164695649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA L DANIELS LPCC-S

Provider Business Mailing Address
First Line	:	145 OLD CARRIAGE CT
Second Line	:
City	:	MONROE
State	:	OH
Zip	:	45050-2418
Country	:	US
Telephone Number	:	513-360-8118
Fax Number	:

Provider Business Practice Location Address
First Line	:	6923 DUTCHLAND PKWY
Second Line	:
City	:	LIBERTY TWP
State	:	OH
Zip	:	45044-9029
Country	:	US
Telephone Number	:	513-779-7775
Fax Number	:	513-779-7389

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

Provider Enumeration Date	:	04/07/2008
Last Update Date	:	09/08/2023

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