Provider Demographics
NPI:1104025006
Name:ROSS, ERICA S (MA, LPA)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:S
Last Name:ROSS
Suffix:
Gender:F
Credentials:MA, LPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 GOVERNMENT AVE SW
Mailing Address - Street 2:SUITE 305
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-2954
Mailing Address - Country:US
Mailing Address - Phone:828-267-1740
Mailing Address - Fax:828-267-1746
Practice Address - Street 1:1200 N FLINT ST
Practice Address - Street 2:
Practice Address - City:LINCOLNTON
Practice Address - State:NC
Practice Address - Zip Code:28092-5239
Practice Address - Country:US
Practice Address - Phone:704-735-0255
Practice Address - Fax:704-736-9801
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2511101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional