Provider Demographics
NPI:1235565060
Name:POPEJOY, ERIN (PHD, LPC/S)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:POPEJOY
Suffix:
Gender:F
Credentials:PHD, LPC/S
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:KERN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, LPC/S
Mailing Address - Street 1:1611 SWEETBRIAR WAY
Mailing Address - Street 2:
Mailing Address - City:CENTERTON
Mailing Address - State:AR
Mailing Address - Zip Code:72719-5015
Mailing Address - Country:US
Mailing Address - Phone:440-554-3043
Mailing Address - Fax:
Practice Address - Street 1:1003 SE 14TH ST STE 4
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-6897
Practice Address - Country:US
Practice Address - Phone:479-319-6579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-25
Last Update Date:2018-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68743101YP2500X
ARP1702241101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional