Provider Demographics
NPI:1407450265
Name:ERIK ANDERSON COUNSELING & CONSULTING PLLC
Entity Type:Organization
Organization Name:ERIK ANDERSON COUNSELING & CONSULTING PLLC
Other - Org Name:ERA COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIK
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, LCSW
Authorized Official - Phone:734-883-8415
Mailing Address - Street 1:1357 E HESS LAKE DR
Mailing Address - Street 2:
Mailing Address - City:GRANT
Mailing Address - State:MI
Mailing Address - Zip Code:49327-8617
Mailing Address - Country:US
Mailing Address - Phone:734-883-8415
Mailing Address - Fax:
Practice Address - Street 1:1357 E HESS LAKE DR
Practice Address - Street 2:
Practice Address - City:GRANT
Practice Address - State:MI
Practice Address - Zip Code:49327-8617
Practice Address - Country:US
Practice Address - Phone:734-883-8415
Practice Address - Fax:734-822-0199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-23
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty