Provider Demographics
NPI:1306033238
Name:OLIVER, ERIKA INGRID (MA, LLP, CAADC)
Entity Type:Individual
Prefix:MS
First Name:ERIKA
Middle Name:INGRID
Last Name:OLIVER
Suffix:
Gender:F
Credentials:MA, LLP, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 PLYMOUTH AVE. NE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49505
Mailing Address - Country:US
Mailing Address - Phone:616-202-6484
Mailing Address - Fax:616-228-4959
Practice Address - Street 1:416 PLYMOUTH AVE. NE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49505
Practice Address - Country:US
Practice Address - Phone:616-202-6484
Practice Address - Fax:616-228-4959
Is Sole Proprietor?:No
Enumeration Date:2007-09-25
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301013660103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling