Provider Demographics
NPI:1407324981
Name:GRAVES, ERIKA Z (LCDC)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:Z
Last Name:GRAVES
Suffix:
Gender:F
Credentials:LCDC
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:Z
Other - Last Name:STROUD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:315 W MCLAIN DR
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-2605
Mailing Address - Country:US
Mailing Address - Phone:903-957-4803
Mailing Address - Fax:903-957-3416
Practice Address - Street 1:315 W MCLAIN DR
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-2605
Practice Address - Country:US
Practice Address - Phone:903-957-4803
Practice Address - Fax:903-957-3416
Is Sole Proprietor?:No
Enumeration Date:2018-11-02
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14445101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)