Provider Demographics
NPI:1003137357
Name:MACE, ERIN SHEETZ (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:SHEETZ
Last Name:MACE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3723 OLD FOREST ROAD.
Mailing Address - Street 2:SUITE A
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501
Mailing Address - Country:US
Mailing Address - Phone:434-528-9711
Mailing Address - Fax:434-528-9711
Practice Address - Street 1:3723 OLD FOREST ROAD
Practice Address - Street 2:SUITE A
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501
Practice Address - Country:US
Practice Address - Phone:434-528-9711
Practice Address - Fax:434-528-9711
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-21
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004852101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional