MEDICARE: ERICA FLEMING RUTLEDGE M.ED, 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	7008	SC

General Provider Information

NPI Number	:	1790133197
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA FLEMING RUTLEDGE M.ED, LPC

Provider Business Mailing Address
First Line	:	25 GOLDSMITH ST # 1011
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29609-4588
Country	:	US
Telephone Number	:	864-514-8849
Fax Number	:	864-448-1807

Provider Business Practice Location Address
First Line	:	25 GOLDSMITH ST # 1011
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29609-4588
Country	:	US
Telephone Number	:	864-514-8849
Fax Number	:	864-448-1807

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

Provider Enumeration Date	:	05/26/2016
Last Update Date	:	06/23/2026

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