Provider Demographics
NPI:1073825436
Name:EPPS, ERIKA L (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:L
Last Name:EPPS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 12412
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79768-2412
Mailing Address - Country:US
Mailing Address - Phone:432-227-3103
Mailing Address - Fax:
Practice Address - Street 1:3631 JOSHUA ST
Practice Address - Street 2:
Practice Address - City:ENNIS
Practice Address - State:TX
Practice Address - Zip Code:75119-0455
Practice Address - Country:US
Practice Address - Phone:432-653-4281
Practice Address - Fax:469-881-1215
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-13
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101Y00000X, 103T00000X
101YM0800X, 101YP1600X
TX13810101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No103T00000XBehavioral Health & Social Service ProvidersPsychologist