Provider Demographics
NPI:1447752449
Name:ROBINSON, ERICA ELAINE
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:ELAINE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1314 INDEPENDENCE DR
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-2121
Mailing Address - Country:US
Mailing Address - Phone:512-713-5262
Mailing Address - Fax:
Practice Address - Street 1:1505 N FLORIDA ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-1544
Practice Address - Country:US
Practice Address - Phone:985-781-6080
Practice Address - Fax:985-867-1768
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-06
Last Update Date:2019-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator