Provider Demographics
NPI:1427543057
Name:TODD, ERIN N (LPC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:N
Last Name:TODD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 285
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80901-0285
Mailing Address - Country:US
Mailing Address - Phone:719-654-5351
Mailing Address - Fax:
Practice Address - Street 1:2719 SAGE ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-5833
Practice Address - Country:US
Practice Address - Phone:719-654-5351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-26
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.1800800101Y00000X
OHC.1500450101Y00000X
COLPC.0016151101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor