Provider Demographics
NPI:1346560133
Name:MASON, ERIC K (LCMHC, LCAS, CRC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:K
Last Name:MASON
Suffix:
Gender:M
Credentials:LCMHC, LCAS, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4365 US HIGHWAY 264 E
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-0708
Mailing Address - Country:US
Mailing Address - Phone:252-258-3352
Mailing Address - Fax:
Practice Address - Street 1:4365 US HIGHWAY 264 E
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-0708
Practice Address - Country:US
Practice Address - Phone:252-258-3352
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-03
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC101YA0400X
NCA7660101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)