Provider Demographics
NPI:1073230850
Name:BARR, ERIKA ELIZABETH
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:ELIZABETH
Last Name:BARR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4213 NE 22ND AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-5627
Mailing Address - Country:US
Mailing Address - Phone:954-361-0740
Mailing Address - Fax:
Practice Address - Street 1:4213 NE 22ND AVE
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-5627
Practice Address - Country:US
Practice Address - Phone:954-361-0740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-24
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health