Provider Demographics
NPI:1225266174
Name:MCCORD, ERIN E (LPC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:E
Last Name:MCCORD
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 1:317 OFFICE SQUARE LN
Mailing Address - Street 2:SUITE B101
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-3650
Mailing Address - Country:US
Mailing Address - Phone:757-297-0701
Mailing Address - Fax:844-697-0714
Practice Address - Street 1:317 OFFICE SQUARE LN
Practice Address - Street 2:SUITE B101
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-3650
Practice Address - Country:US
Practice Address - Phone:757-297-0701
Practice Address - Fax:844-697-0714
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-30
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004639101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1225266174Medicaid
VA1225266174Medicaid