MEDICARE: ERIN PARIS LPCC

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	101YP2500X	Professional Counselor	KY 1545	KY

General Provider Information

NPI Number	:	1376939504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN PARIS LPCC

Provider Business Mailing Address
First Line	:	3310 MAPLE RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40299-3525
Country	:	US
Telephone Number	:	502-500-9564
Fax Number	:

Provider Business Practice Location Address
First Line	:	1105 JULIANNA CT
Second Line	:
City	:	ELIZABETHTOWN
State	:	KY
Zip	:	42701-7937
Country	:	US
Telephone Number	:	270-769-3714
Fax Number	:

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

Provider Enumeration Date	:	04/14/2015
Last Update Date	:	04/14/2015

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