Provider Demographics
NPI:1447304373
Name:WESTPHAL, ERICA ROUSH (LMFT)
Entity type:Individual
Prefix:MS
First Name:ERICA
Middle Name:ROUSH
Last Name:WESTPHAL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:558 E CASTLE PINES PKWY STE B4
Mailing Address - Street 2:#173
Mailing Address - City:CASTLE PINES
Mailing Address - State:CO
Mailing Address - Zip Code:80108
Mailing Address - Country:US
Mailing Address - Phone:602-430-4578
Mailing Address - Fax:
Practice Address - Street 1:558 CASTLE PINES PKWY B4
Practice Address - Street 2:#173
Practice Address - City:CASTLE PINES
Practice Address - State:CO
Practice Address - Zip Code:80108
Practice Address - Country:US
Practice Address - Phone:602-430-4578
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMFT10249101YM0800X
COMFT.0002397101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZLMFT10249OtherCLINICIAN
COMFT.0002397OtherCLINICIAN