MEDICARE: MRS. ERIN MARIE EASLEY 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
2	101YP2500X	Professional Counselor	80867	TX
3	101YM0800X	Mental Health Counselor	80867	TX
4	101YP2500X	Professional Counselor	1545-226	WI

General Provider Information

NPI Number	:	1245581685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ERIN MARIE EASLEY LPC

Provider Business Mailing Address
First Line	:	101 FEU FOLLET RD STE 100
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-4234
Country	:	US
Telephone Number	:	713-686-9194
Fax Number	:

Provider Business Practice Location Address
First Line	:	4527 WILLOW TREE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78259-2058
Country	:	US
Telephone Number	:	361-695-0527
Fax Number	:

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

Provider Enumeration Date	:	09/25/2012
Last Update Date	:	01/08/2026

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