Provider Demographics
NPI:1003202359
Name:MERRILL, ERICA ANGELA (PHD, LCMHC)
Entity Type:Individual
Prefix:DR
First Name:ERICA
Middle Name:ANGELA
Last Name:MERRILL
Suffix:
Gender:F
Credentials:PHD, LCMHC
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:
Other - Last Name:SALISBURY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9828 CALDWELL DEPOT RD.
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031
Mailing Address - Country:US
Mailing Address - Phone:419-283-9274
Mailing Address - Fax:
Practice Address - Street 1:9828 CALDWELL DEPOT RD.
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031
Practice Address - Country:US
Practice Address - Phone:419-283-9274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-14
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA11506101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health