Provider Demographics
NPI:1871358556
Name:CARLSON, ERIN (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:CARLSON
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:541 DIAMOND POINT DR
Mailing Address - Street 2:
Mailing Address - City:OAK POINT
Mailing Address - State:TX
Mailing Address - Zip Code:75068-2257
Mailing Address - Country:US
Mailing Address - Phone:469-644-5274
Mailing Address - Fax:
Practice Address - Street 1:701 E 15TH ST STE 101
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-0708
Practice Address - Country:US
Practice Address - Phone:972-872-8534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX94193101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health