Provider Demographics
NPI:1356644538
Name:HERITS, ERIKA MARIA (MS, LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:MARIA
Last Name:HERITS
Suffix:
Gender:F
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 N UNION AVE
Mailing Address - Street 2:SUITE 203B
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-2173
Mailing Address - Country:US
Mailing Address - Phone:908-301-6218
Mailing Address - Fax:
Practice Address - Street 1:123 N UNION AVE
Practice Address - Street 2:SUITE 203B
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-2173
Practice Address - Country:US
Practice Address - Phone:908-301-6218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-10
Last Update Date:2015-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00483300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
0023701OtherAGENCY PROVIDER #
NJ8363102OtherAGENCY PROGRAM PROVIDER #
NJ527486OtherAGENCY MEDICARE PROVIDER #