Provider Demographics
NPI:1467004036
Name:JAMES, ERIC LEE (LMSW)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:LEE
Last Name:JAMES
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1636 POPPS FERRY RD STE 203
Mailing Address - Street 2:
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39532-2309
Mailing Address - Country:US
Mailing Address - Phone:228-284-2644
Mailing Address - Fax:
Practice Address - Street 1:1636 POPPS FERRY RD STE 203
Practice Address - Street 2:
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39532-2309
Practice Address - Country:US
Practice Address - Phone:228-284-2644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-12
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSM11169104100000X
MS2885171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator