Provider Demographics
NPI:1275869349
Name:ERVING, RICHARD JULIUS (BA,CAC-M)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:JULIUS
Last Name:ERVING
Suffix:
Gender:M
Credentials:BA,CAC-M
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9851 HAMILTON AVE
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48202
Mailing Address - Country:US
Mailing Address - Phone:313-231-5037
Mailing Address - Fax:313-883-3957
Practice Address - Street 1:9851 HAMILTON AVE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202
Practice Address - Country:US
Practice Address - Phone:313-231-5037
Practice Address - Fax:313-883-3957
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-26
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)